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CH02152I OPEN DOOR FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
PORT CHESTER MIDDLE SCHOOL - SBHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007569
340B ID
CH02152I
Grant Number
H80CS00160
Additional Details
Current Program Status
Active
Registration Date
4/27/2010
Participating Start Date
7/1/2010
Participating Approval Date
5/20/2010
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
113 Bowman Avenue
Port Chester, NY 10573-2808
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
May 2025
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