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JOHNS HOPKINS BAYVIEW MED CTR INC NPI 1093912388


NPI Information

NPI: 1093912388
Provider Name: JOHNS HOPKINS BAYVIEW MED CTR INC

Other Name: JHBMC ADULT VOC/ CHILD REHAB, OFF SITE/CROSSROADS/VARIETY, OFF SITE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4940 EASTERN AVE
D 3, EAST
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-0070
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JOHNS HOPKINS BAYVIEW MED CTR INC is a mental health (including community mental health center) clinic center in Baltimore, MD. JOHNS HOPKINS BAYVIEW MED CTR INC NPI is 1093912388. The provider is registered as an organization entity type.
The provider Other Name Is Jhbmc Adult Voc/ Child Rehab, Off Site/crossroads/variety, Off Site.

The provider's business location address is:

4940 EASTERN AVE
D 3, EAST
BALTIMORE, MD
ZIP 21224-735
Phone: (410) 550-0070
Fax: (410) 550-1061

The provider's authorized official is Ronald J Werthman .
The authorized official title is Vpfinance, Treasurer, Cfo Jhhs and has the following contact phone number (410) 955-6552.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 12/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)30-005MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1588531100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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