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CH03318AA BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
AbsoluteCare Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020992
340B ID
CH03318AA
Grant Number
H80CS00800
Additional Details
Current Program Status
Active
Registration Date
12/5/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/5/2017
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Baltimore Medical System, Inc.
Shirley Sutton, Chief Executive Officer
(410) 558-4891
Primary Contact
Baltimore Medical System,Inc.
Dawn Jacobs, Director of Pharmacy Services
(443) 703-3654
Addresses
Street Address
1040 Park Ave, Suite 200
Baltimore, MD 21201
Billing Address
Baltimore Medical System
P.O. Box 1593
Merrifield, VA 22116-1593
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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