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CH03664C CHASE BREXTON HEALTH SERVICES, INC (Active)
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Main Details
Name
CHASE BREXTON HEALTH SERVICES, INC
Subdivision Name
Chase Brexton Health Services, Inc. at Security Square Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037862
340B ID
CH03664C
Grant Number
H80CS00734
Additional Details
Current Program Status
Active
Registration Date
6/14/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/15/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Chase Brexton Health Care
Eric Turnbaugh, CFO
(410) 837-2050 Ext: 1148
Primary Contact
Chase Brexton Health Care
Jeffrey Allen Cywinski, Director of Pharmacy
(410) 837-2050 Ext: 1115
Addresses
Street Address
6901 Security Blvd
Ste 200
Windsor Mill, MD 21244-2412
Billing Address
CHASE BREXTON HEALTH SERVICES, INC.
1111 NORTH CHARLES ST
BALTIMORE, MD 21201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/24/11 UPDATED PHYS ADD (WAS 8507 LIBERTY ROAD) 7/14/11 - CHANGED AO FROM DAVID SHIPPEE AND CONTACT PERSON FROM MADELINE FEINBERG.
07/14/2011
3/24/11 UPDATED PHYS ADD (WAS 8507 LIBERTY ROAD) 7/14/11 - CHANGED AO FROM DAVID SHIPPEE AND CONTACT PERSON FROM MADELINE FEINBERG.
07/14/2011
June 2025
June 2025
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