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HM1587 PREMIERE HEALTHCARE SERVICES (Active)
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Main Details
Name
PREMIERE HEALTHCARE SERVICES
Subdivision Name
HEMOPHILIA THROMBOPHILIA TREATMENT CENTER UNIVERSITY PEDIATRICIANS
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1587
Grant Number
H30MC24047
Additional Details
Current Program Status
Active
Registration Date
1/1/2002
Participating Start Date
1/1/2002
Participating Approval Date
1/12/2011
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
University Pediatricians
Mark M Harrison, COO
(313) 745-6911
Primary Contact
University Pediatricians
Michael Urban Callaghan, Director Premiere Healthcare Services
(313) 966-8008
Addresses
Street Address
3901 BEAUBIEN BLVD.
Suite 1K40
DETROIT, MI 48201
Billing Address
University Pediatricians
c/o RDM Associates
7457 M E Cad Blvd Suite 200
Clarkston, MI 48348
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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1/12/11 ENTITY NAME CHANGE (WAS CHILDREN'S HOSPITAL OF MICHIGAN COMPREHENSIVE TREATMENT CENTER)
01/01/2002
April 2025
April 2025
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