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GRACE MEDICAL CENTER INC. NPI 1437325578


NPI Information

NPI: 1437325578
Provider Name: GRACE MEDICAL CENTER, INC.

Other Name: GRACE MEDICAL CENTER - OUTPATIENT RENAL DIALYSIS CLINIC

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2000 W BALTIMORE ST FL 2NDD
BALTIMORE, MD
ZIP 21223
Phone: (410) 362-3000
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GRACE MEDICAL CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. GRACE MEDICAL CENTER, INC. NPI is 1437325578. The provider is registered as an organization entity type.
The provider Other Name Is Grace Medical Center - Outpatient Renal Dialysis Clinic.

The provider's business location address is:

2000 W BALTIMORE ST FL 2NDD
BALTIMORE, MD
ZIP 21223-558
Phone: (410) 362-3000

The provider's authorized official is Rebecca A Altman .
The authorized official title is Vp and has the following contact phone number (443) 924-1856.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 9/20/2022.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1753761100MEDICAIDMARYLAND

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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