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CH02152B OPEN DOOR FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
OPEN DOOR FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001720
340B ID
CH02152B
Grant Number
H80CS00160
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
9/2/2003
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Open Door Family Medical, Inc.
Lindsay Farrell, President and CEO
(914) 502-1450
Primary Contact
Open Door Family Medical Center
MARIA MAZZOTTA, CFO
(914) 941-1263 Ext: 1470
Addresses
Street Address
5 Grace Church St
Port Chester, NY 10573-4911
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/9/06 - UPDATED ADDRESS (PREVIOUS ADDRESS: 90 SOUTH RIDGE ST, RYE BROOK NY 10573)
08/09/2006
May 2025
May 2025
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