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CH052910 FAMILY MEDICAL CENTER OF MICHIGAN INC (Active)
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Main Details
Name
FAMILY MEDICAL CENTER OF MICHIGAN INC
Subdivision Name
FAMILY MEDICAL CENTER OF MI, INC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005319
340B ID
CH052910
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
10/1/2001
Participating Start Date
10/1/2001
Participating Approval Date
2/9/2005
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Family Medical Center of Michigan, Inc.
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Primary Contact
Family Medical Center of Michigan, Inc.
Zach Terrill, Director of Pharmacy
(517) 263-1800 Ext: 1215
Addresses
Street Address
8765 Lewis Ave
Temperance, MI 48182-9583
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CONTACT NAME CHANGE, NEW PHONE NUMBER
02/09/2005
April 2025
April 2025
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