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CH02152K OPEN DOOR FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Subdivision Name
Open Door Family Medical Center @ Brewster
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012421
340B ID
CH02152K
Grant Number
H80CS00160
Additional Details
Current Program Status
Active
Registration Date
10/12/2012
Participating Start Date
10/27/2012
Participating Approval Date
10/18/2012
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
155 Main St
Brewster, NY 10509-1521
Billing Address
Open Door Family Medical Center
165 Main Street
Ossining, NY 10562
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/2/2012 - Participation start date changed from 1/1/2013 to 10/27/2012 to reflect post-Sandy public health emergency determination for the State of New York [T.Lew]
12/09/2014
11/2/2012 – Participation start date changed from 1/1/2013 to 10/27/2012 to reflect post-Sandy public health emergency determination for the State of New York [T.Lew]
11/05/2012
10/18/12 - Reviewed registration and forwarded to IS for approval.
10/18/2012
April 2025
April 2025
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