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CH051880 DETROIT HEALTH CARE FOR THE HOMELESS (Terminated)
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Main Details
Name
DETROIT HEALTH CARE FOR THE HOMELESS
Subdivision Name
Waller Health Center on Cathedral Green
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008707
340B ID
CH051880
Grant Number
H80CS00033
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
12/14/2004
Last Recertification Date
2/8/2023
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Detroit Health care for the Homeless
Nina Abubakari, Executive Director
(313) 416-6259
Primary Contact
Advantage Health Centers
Nicole Smith, Chief Financial Officer
(313) 416-6232
Addresses
Street Address
60 E Warren Ave
Detroit, MI 48201-1312
Billing Address
Advantage Health Centers
100 River Place Dr Ste 450
Detroit, MI 48207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/14/10 - UPDATED PHYS ADD (WAS 2395 WEST GRAND BLVD); ADMINISTRATIVE CORRECTION - REPLACES HO051880
01/14/2010
April 2025
April 2025
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