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CH05316C THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED (Active)
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Main Details
Name
THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED
Subdivision Name
THUNDER BAY COMM HEALTH SERVICE - ATLANTA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004775
340B ID
CH05316C
Grant Number
H80CS00402
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
1/11/2005
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
11899 M 32
Atlanta, MI 49709-9374
Billing Address
THUNDER BAY COMMUNITY HEALTH SERVICES
15774 STATE STREET
HILLMAN, MI 49746
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/23/10 ADDED BILL-TO ADD; 4/7/2010- AMDP-NETWORK- ALCONA HEALTH CENTER AND THUNDER BAY COMMUNITY HEALTH SERVICES; 5/26/06 - ADMINISTRATIVE CHANGE IN 340B ID # (WAS PREVIOUSLY SHOWN AS 340B ID #CH05316B)
11/23/2010
11/23/10 ADDED BILL-TO ADD; 4/7/2010- AMDP-NETWORK- ALCONA HEALTH CENTER AND THUNDER BAY COMMUNITY HEALTH SERVICES; 5/26/06 - ADMINISTRATIVE CHANGE IN 340B ID # (WAS PREVIOUSLY SHOWN AS 340B ID #CH05316B)
11/23/2010
April 2025
April 2025
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