340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TRINITY HEALTH-MICHIGAN
CH05102C HACKLEY COMMUNITY CARE CENTER INC
Print
Covered Entity Details
Entity Name
HACKLEY COMMUNITY CARE CENTER INC
Subdivision Name
Hackley Community Care Center Leahy Site
Type
HRSA-Funded Health Center
340B ID
CH05102C
Entity Address
1675 Leahy St.
Muskegon, MI 49442-5500
Grant Number
H80CS00684
Participating Start Date
4/1/2015
Last Recertification Date
2/16/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
TRINITY HEALTH-MICHIGAN
Pharmacy Address
TRINITY HEALTH LONG TERM CARE PHARMACY-C
360 DIVISION AVE S STE 1C
GRAND RAPIDS, MI 49503
Pharmacy Comments
07/12/2013 - Undeleted per OPA Instructions and updated the pharmacy details. 06/17/2013 - Deleted duplicate for PharmacyID-15939 per OPA instructions.
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Valerie J Blondin, CFO
(231) 733-6657
Contract Pharmacy Representative
Mercy Health
Alan Goldman, Pharmacy Manager
(616) 685-1143
Signed By Date
10/12/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session