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CH05036AW 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 Bridgeport Spaulding High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029687
340B ID
CH05036AW
Grant Number
H80CS00689
Additional Details
Current Program Status
Active
Registration Date
5/26/2020
Participating Start Date
7/1/2020
Participating Approval Date
5/28/2020
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
4691 Bearcat Blvd Fl 1
Bridgeport, MI 48722
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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