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CH03664F CHASE BREXTON HEALTH SERVICES, INC (Terminated)
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Main Details
Name
CHASE BREXTON HEALTH SERVICES, INC
Subdivision Name
Maryland Institute College of Art Student Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011952
340B ID
CH03664F
Grant Number
H80CS00734
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
1/31/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Chase Brexton
Robin Brooks, CFO
(410) 752-0954 Ext: 1148
Primary Contact
Chase Brexton Health Care
Marc Summerfield, AVP - Pharmacy
(410) 837-2050 Ext: 1490
Addresses
Street Address
1501 W Mount Royal Ave
Baltimore, MD 21217-4289
Billing Address
CHASE BREXTON HEALTH SERVICES
1111 NORTH CHARLES ST
Baltimore, MD 21201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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