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CHC06642-02 Western Maryland Health Care Corporation (Active)
Main Details
Name
Western Maryland Health Care Corporation
Subdivision Name
Mountain Laurel Medical Center McCoole
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027833
340B ID
CHC06642-02
Grant Number
H80CS06642
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
Additional Details
Current Program Status
Active
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
Last Recertification Date
1/30/2024
Addresses
Street Address
22221 Westernport Rd SW
Westernport, MD 21562-2206
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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