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CH02152H OPEN DOOR FAMILY MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
Open Door Family Medical Center - Mobile Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009221
340B ID
CH02152H
Grant Number
H80CS00160
Additional Details
Current Program Status
Terminated
Registration Date
4/27/2010
Participating Start Date
7/1/2010
Participating Approval Date
4/27/2010
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2020
Site closure
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
351 Main Street
Mount Kisco, NY 10549
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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