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CH05316D THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED (Active)
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Main Details
Name
THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED
Subdivision Name
THUNDER BAY COMMUNITY HEALTH SERVICE - ROGERS CITY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003211
340B ID
CH05316D
Grant Number
H80CS00402
Additional Details
Current Program Status
Active
Registration Date
1/1/2002
Participating Start Date
1/1/2002
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
205 S Bradley Hwy
Rogers City, MI 49779-2137
Billing Address
Thunder Bay Community Health Service
15774 State St.
P.O. Box 427
Hillman, MI 49746
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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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 #CH05316C); 2/26/07 - UPDATED ADDRESS (WAS 555 NORTH BRADLEY HIGHWAY)
03/15/2013
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 #CH05316C); 2/26/07 - UPDATED ADDRESS (WAS 555 NORTH BRADLEY HIGHWAY)
02/26/2007
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 #CH05316C); 2/26/07 - UPDATED ADDRESS (WAS 555 NORTH BRADLEY HIGHWAY)
02/26/2007
April 2025
April 2025
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