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CH03013C PARK WEST HEALTH SYSTEMS INCORPORATED (Terminated)
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Main Details
Name
PARK WEST HEALTH SYSTEMS INCORPORATED
Subdivision Name
PARK WEST MEDICAL CENTER SCC/GPA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000639
340B ID
CH03013C
Grant Number
H80CS00067
Additional Details
Current Program Status
Terminated
Registration Date
3/3/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/3/2008
Last Recertification Date
3/5/2015
Termination Date
Termination Reason
1/1/2016
Site closure
Contacts
Authorizing Official
Park West Health System, Inc.
ALLEN J. BENNETT, PRESIDENT & CEO
(410) 542-7800 Ext: 7501
Primary Contact
Park West Health System, Inc.
ALLEN J. BENNETT, PRESIDENT & CEO
(410) 542-7800 Ext: 7501
Addresses
Street Address
5101 LANIER AVE
BALTIMORE, MD 21215-5321
Billing Address
PARK WEST HEALTH SYSTEM, INC.
3319 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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