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CHC26573-01 Traverse Health Clinic and Coalition (Active)
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Main Details
Name
Traverse Health Clinic and Coalition
Subdivision Name
Traverse Health Clinic and Coalition Mobile Medical Unit #1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034738
340B ID
CHC26573-01
Grant Number
H80CS26573
Additional Details
Current Program Status
Active
Registration Date
1/4/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/5/2023
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Traverse Health Clinic
Casey Kandow, Chief Executive Officer
(231) 642-5813
Primary Contact
Traverse Health Clinic
Rebecca Jenema, Business and Finance Manager
(231) 642-5931
Addresses
Street Address
1719 S Garfield Ave
Traverse City, MI 49686-4337
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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