340B Drug Pricing Program Database
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CH05036AT 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 Mobile Medical 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027953
340B ID
CH05036AT
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
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
501 Lapeer Ave
Saginaw, MI 48607
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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