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CH03318AE BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
BMS at Yard 56
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036163
340B ID
CH03318AE
Grant Number
H80CS00800
Additional Details
Current Program Status
Active
Registration Date
5/17/2023
Participating Start Date
7/1/2023
Participating Approval Date
6/5/2023
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
5525 Eastern Ave
Suite 201
Baltimore, MD 21224-2796
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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