340B Drug Pricing Program Database
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CH05036AR Great Lakes Bay Health Centers (Active)
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Main Details
Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Davenport
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021979
340B ID
CH05036AR
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
8/21/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/23/2018
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Great Lakes Bay Health Centers
Amy Colleen Evans, CFO
(989) 759-6438
Primary Contact
Great Lakes Bay Health Centers
Kelli N Pardee, 340B Program Assistant Director
(989) 921-5840
Addresses
Street Address
3023 Davenport Ave
Saginaw, MI 48602
Billing Address
Great Lakes Bay Health Centers
501 Lapeer Ave
Saginaw, MI 48607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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