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CHC06642-01 WESTERN MARYLAND HEALTH CARE CORPORATION (Active)
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Main Details
Name
WESTERN MARYLAND HEALTH CARE CORPORATION
Subdivision Name
Mountain Laurel Medical Center Grantsville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014092
340B ID
CHC06642-01
Grant Number
H80CS06642
Additional Details
Current Program Status
Active
Registration Date
4/6/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/11/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Western Maryland Healthcare Corporation
James W. Mou, CFO
(301) 533-3300 Ext: 3018
Primary Contact
Western Maryland Healthcare Corporation
Jennifer Lowdermilk, Senior Accountant/340B Specialist
(301) 533-3300 Ext: 3096
Addresses
Street Address
104 PARKVIEW DR
GRANTSVILLE, MD 21536-1086
Billing Address
Western Maryland Health Care Corporation
1027 Memorial Drive
Oakland, MD 21550
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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