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CH037030 Mary's Center For Maternal And Child Care, Inc. (Active)
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Main Details
Name
Mary's Center For Maternal And Child Care, Inc.
Subdivision Name
Adams Morgan DC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003676
340B ID
CH037030
Grant Number
H80CS04202
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/8/2014
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Mary's Center
Anis Bajramovic, EVP of Compliance
(202) 809-0886
Primary Contact
Mary's Center for Maternal and Child Care, Inc.
Daisy Natnat, Compliance Manager
(202) 851-3799
Addresses
Street Address
2333 Ontario Rd NW
Washington, DC 20009-2627
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/8/14 participating 7/1/07 thru 3/31/14, not participating 4/1/14 thru 6/30/14 due to failure to recertify
05/08/2014
April 2025
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