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CH03377B GREATER BADEN MEDICAL SERVICE INC (Active)
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Main Details
Name
GREATER BADEN MEDICAL SERVICE INC
Subdivision Name
Greater Baden Medical Services at Leonardtown
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007098
340B ID
CH03377B
Grant Number
H80CS00549
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/10/2004
Last Recertification Date
2/10/2025
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
23140 Moakley St STE 4
Leonardtown, MD 20650-2923
Billing Address
GREATER BADEN MEDICAL SERVICES, INC.
7450 Albert Road
Brandywine, MD 20613
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 04/01/2004
08/11/2005
April 2025
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