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GENOA HEALTHCARE LLC
CH05036AJ Great Lakes Bay Health Centers
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Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Integrated Care Saginaw
Type
HRSA-Funded Health Center
340B ID
CH05036AJ
Entity Address
500 Hancock St
Saginaw, MI 48602
Grant Number
H80CS00689
Participating Start Date
1/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
500 HANCOCK
SUITE #100
SAGINAW, MI 48602
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Colleen Evans, CFO
(989) 759-6438
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/13/2023
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