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CH03318Q BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
BMS AT ST. AGNES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002459
340B ID
CH03318Q
Grant Number
H80CS00800
Additional Details
Current Program Status
Active
Registration Date
8/18/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/18/2005
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Baltimore Medical System, Inc.
Shirley Sutton, Chief Executive Officer
(410) 558-4891
Primary Contact
Baltimore Medical System,Inc.
Dawn Jacobs, Director of Pharmacy Services
(443) 703-3654
Addresses
Street Address
900 S. Caton Ave
Baltimore, MD 21229-5201
Billing Address
Baltimore Medical System, Inc. at Saint Agnes
5525 Eastern Avenue
Suite 301
Baltimore, MD 21224
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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