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CH051020 HACKLEY COMMUNITY CARE CENTER INC (Active)
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Main Details
Name
HACKLEY COMMUNITY CARE CENTER INC
Subdivision Name
Hackley Community Care Baker Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003721
340B ID
CH051020
Grant Number
H80CS00684
Additional Details
Current Program Status
Active
Registration Date
1/1/2001
Participating Start Date
1/1/2001
Participating Approval Date
3/18/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Hackley Community Care Center
Valerie J Blondin, CFO
(231) 733-6657
Primary Contact
Hackley Community Care Center, Inc
Troy McLouth, Pharmacy Manager
(231) 733-6665
Addresses
Street Address
2700 Baker St
Muskegon, MI 49444-2157
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED 340B ID - WAS CHTBCR051
11/28/2007
April 2025
April 2025
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