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CH03318F BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
BELAIR EDISON FAMILY HEALTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002655
340B ID
CH03318F
Grant Number
H80CS00800
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
7/25/2005
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
3120 Erdman Ave
Baltimore, MD 21213-1720
Billing Address
Baltimore Medical System, Inc. Belair Edison Family Health Center
5525 Eastern Avenue
Suite 301
Baltimore, MD 21224
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/25/05 - CORR ENT NAME, UPDATED CONTACT, 8/18/05 - ADDR CH (WAS 3301 BELAIR ROAD)
04/09/2009
May 2025
May 2025
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