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FQHC638159A Hannahville Health Center (Active)
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Main Details
Name
Hannahville Health Center
Subdivision Name
Acute Care Center
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638159A
Additional Details
Current Program Status
Active
Registration Date
1/14/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/5/2021
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Hannahville Health Center
G Susan Meshigaud, Director of Health and Human Services
(906) 723-2500
Primary Contact
Hannahville Health Center
Nichole Varoni, Nurse-Patient Care & Compliance
(906) 466-2782
Addresses
Street Address
N15750 Hannahville Road B-1
Wilson, MI 49896
Billing Address
Hannahville Health Center
N15019 Hannahville Road B 1
Wilson, MI 49896
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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