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CH03318G BALTIMORE MEDICAL SYSTEM, INC. (Active)
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Main Details
Name
BALTIMORE MEDICAL SYSTEM, INC.
Subdivision Name
TENCH TILGHMAN ELEMENTARY SCHOOL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001479
340B ID
CH03318G
Grant Number
H80CS00800
Additional Details
Current Program Status
Active
Registration Date
10/1/2002
Participating Start Date
10/1/2002
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
600 N Patterson Park Ave
Baltimore, MD 21205-2447
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/25/05 - CORR ENT NAME
04/09/2009
May 2025
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