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GLASS HEALTH PROGRAMS INC NPI 1396001798


NPI Information

NPI: 1396001798
Provider Name: GLASS HEALTH PROGRAMS, INC

Doing Business As: MEDMARK TREATMENT CENTERS - BALTIMORE DOWNTOWN 201

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
821 N EUTAW ST ST
SUITE 201
BALTIMORE, MD
ZIP 21201
Phone: (410) 225-9185
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GLASS HEALTH PROGRAMS, INC is a methadone clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GLASS HEALTH PROGRAMS, INC NPI is 1396001798. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers - Baltimore Downtown 201.

The provider's business location address is:

821 N EUTAW ST ST
SUITE 201
BALTIMORE, MD
ZIP 21201
Phone: (410) 225-9185
Fax: (410) 225-7964

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 2/13/2024.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder904787MARYLANDNo
2261QM2800XClinic/CenterMethadone905634MARYLANDYes

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
139191301MEDICAIDMARYLAND

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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