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CH053160 THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED (Active)
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Main Details
Name
THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED
Subdivision Name
Thunder Bay Community Health Services Hillman
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009303
340B ID
CH053160
Grant Number
H80CS00402
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
1/13/2005
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Thunder Bay Community Health Service, Inc.
Richard Bates, Chief Executive Officer
(989) 464-3146
Primary Contact
Thunder Bay Community Health Service, Inc.
LORI WINEMAN, Chief Pharmacy Officer
(989) 785-5535
Addresses
Street Address
15774 State St.
Hillman, MI 49746
Billing Address
THUNDER BAY COMMUNITY HEALTH SERVICES
15774 STATE STREET
P.O. BOX 427
HILLMAN, MI 49746
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/23/10 UPDATED PHYS ADD (WAS 610 CARING STREET), ADDED BILL-TO ADD; 4/7/2010- AMDP-NETWORK- ALCONA HEALTH CENTER AND THUNDER BAY COMMUNITY HEALTH SERVICES
11/23/2010
April 2025
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