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MYMICHIGAN MEDICAL CENTER ALMA
CAH231325-00 MyMichigan Medical Center Gladwin
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Covered Entity Details
Entity Name
MyMichigan Medical Center Gladwin
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231325-00
Entity Address
515 QUARTER STREET
GLADWIN, MI 48624
Medicare Provider Number
231325
Participating Start Date
8/31/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MYMICHIGAN MEDICAL CENTER ALMA
Pharmacy Address
300 E WARWICK DR
ALMA, MI 48801
Pharmacy Comments
Contract Details
Approval Date
12/19/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Ownership change
Contacts
Covered Entity Signing Official
Ray Stover, Regional President
(989) 246-6203
Contract Pharmacy Representative
MidMichigan Health
Bryan Rex Cross, President
(989) 839-1322
Signed By Date
10/12/2012
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