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CH03377G GREATER BADEN MEDICAL SERVICE INC (Terminated)
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Main Details
Name
GREATER BADEN MEDICAL SERVICE INC
Subdivision Name
Greater Baden Medical Services at Oxon Hill
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006545
340B ID
CH03377G
Grant Number
H80CS00549
Additional Details
Current Program Status
Terminated
Registration Date
9/19/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/9/2012
Last Recertification Date
2/9/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Greater Baden Medical Services, Inc.
colenthia malloy, chief executive officer
(301) 836-9652
Primary Contact
Greater Baden Medical Services, Inc.
Sarah Leonhard, Consultant
(301) 518-2349
Addresses
Street Address
6188 Oxon Hill Rd
Oxon Hill, MD 20745-3113
Billing Address
Greater Baden Medical Services Inc.
7450 Albert Road
3rd Floor
Brandywine, MD 20613
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/6/12 - Reviewed registration and forwarded to IS for approval.
11/06/2012
April 2025
April 2025
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