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CH03318E BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
Highlandtown Healthy Living Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009361
340B ID
CH03318E
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
3700 Fleet St
Baltimore, MD 21224-4230
Billing Address
Baltimore Medical System, Inc- Highlandtown Healthy Living 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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3/9/10 - NEW PHYS ADD (WAS 3505-3509 EASTERN AVE, BALTIMORE, MD 21224); 7/24/09 ADDR UPDATE (WAS 3509 EASTERN AVENUE)7/25/05 - CORR ENT NAME, UPDATED CONTACT
03/09/2010
May 2025
May 2025
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