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CH05291A FAMILY MEDICAL CENTER OF MICHIGAN INC (Active)
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Main Details
Name
FAMILY MEDICAL CENTER OF MICHIGAN INC
Subdivision Name
FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000823
340B ID
CH05291A
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
4/1/2003
Participating Approval Date
4/1/2003
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Family Medical Center of Michigan, Inc.
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Primary Contact
Family Medical Center of Michigan, Inc.
Zach Terrill, Director of Pharmacy
(517) 263-1800 Ext: 1215
Addresses
Street Address
130 Medical Center Dr
Carleton, MI 48117-9461
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/15/05 - FORMERLY RECORD FOR CH052820 (ADMIN CORRECTION)
12/21/2005
May 2025
May 2025
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