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HV20722 GREATER BADEN MEDICAL SERVICES, INC. (Terminated)
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Main Details
Name
GREATER BADEN MEDICAL SERVICES, INC.
Subdivision Name
ADMINISTRATIVE OFFICE
Type
Ryan White Part C
340B ID
HV20722
Grant Number
H76HA00683
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/10/2004
Last Recertification Date
2/3/2022
Time Period the Assistance was Received
5/1/2018 - 4/30/2021
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Greater Baden Medical Services, Inc.
Christopher A DeMarco, Chief Executive Officer
(301) 888-2233 Ext: 3306
Primary Contact
Greater Baden Medical Services
Wyndy Webb, Chief Pharmacy Officer
(443) 255-4544
Addresses
Street Address
7450 Albert Road
Brandywine, MD 20613
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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8/4/11 PHYS ADDR UPDATED(WAS 9440 PENNSYLVANIA AVENUE, SUITE 160) - NEW SITE 04/01/2004
08/04/2011
NEW SITE 04/01/2004
04/01/2004
May 2025
May 2025
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