OPTIMUM HEALTH SYSTEMS INC NPI 1407185804

NPI Information

NPI: 1407185804
Provider Name: OPTIMUM HEALTH SYSTEMS INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2300 GARRISON BLVD
SUITE 104
BALTIMORE, MD
ZIP 21216
Phone: (410) 233-6200
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OPTIMUM HEALTH SYSTEMS INC is a mental health (including community mental health center) clinic center in Baltimore, MD. OPTIMUM HEALTH SYSTEMS INC NPI is 1407185804. The provider is registered as an organization entity type.

The provider's business location address is:

2300 GARRISON BLVD
SUITE 104
BALTIMORE, MD
ZIP 21216-335
Phone: (410) 233-6200

The provider's authorized official is Samson Omotosho .
The authorized official title is Program Director and has the following contact phone number (410) 233-6200.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 12/14/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	412569000	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	412569000	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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