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CH03013E PARK WEST HEALTH SYSTEMS INCORPORATED (Terminated)
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Main Details
Name
PARK WEST HEALTH SYSTEMS INCORPORATED
Subdivision Name
Howard Park Community Care Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014187
340B ID
CH03013E
Grant Number
H80CS00067
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/21/2015
Last Recertification Date
2/3/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Park West Health System, Inc.
ALLEN J. BENNETT, PRESIDENT & CEO
(410) 542-7800 Ext: 7501
Primary Contact
Park West Health System, Inc.
ALLEN J. BENNETT, PRESIDENT & CEO
(410) 542-7800 Ext: 7501
Addresses
Street Address
4601 Liberty Heights Avenue
Baltimore, MD 21215-2120
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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