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CHC26633-01 Owensville Primary Care, Inc. (Active)
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Main Details
Name
Owensville Primary Care, Inc.
Subdivision Name
Owensville Primary Care, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013232
340B ID
CHC26633-01
Grant Number
H80CS26633
Additional Details
Current Program Status
Active
Registration Date
7/11/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/25/2022
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Bay Community Health
Erica Johnson, Chief Executive Officer
(410) 867-4700 Ext: 113
Primary Contact
OWENSVILLE PRIMARY CARE, INC.
Jayson Burton, CHIEF FINANCIAL OFFICER
(443) 607-1438
Addresses
Street Address
134 Owensville Rd
West River, MD 20778-9998
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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