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CH02152D OPEN DOOR FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
EDISON ELEMENTARY SCHOOL BASED
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002397
340B ID
CH02152D
Grant Number
H80CS00160
Additional Details
Current Program Status
Active
Registration Date
11/23/2005
Participating Start Date
11/25/2005
Participating Approval Date
11/25/2005
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
132 Rectory St
Port Chester, NY 10573-3240
Billing Address
OPEN DOOR FAMILY MEDICAL CENTER, INC.
165 MAIN STREET
OSSINING, NY 10562
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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