340B Drug Pricing Program Database
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CHC26633-00 Owensville Primary Care, Inc. (Active)
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Main Details
Name
Owensville Primary Care, Inc.
Subdivision Name
OPC Shady Side V1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022211
340B ID
CHC26633-00
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
6131 Shady Side Rd
Shady Side, MD 20764-9504
Billing Address
Owensville Primary Care, Inc
134 Owensville Road
West River, MD 20778
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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