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THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC NPI 1609950971


NPI Information

NPI: 1609950971
Provider Name: THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5601 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21239
Phone: (443) 444-3841
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THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC NPI is 1609950971. The provider is registered as an organization entity type.

The provider's business location address is:

5601 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21239-905
Phone: (443) 444-3841

The provider's authorized official is Deana Stout .
The authorized official title is Vp Of Finance and has the following contact phone number (443) 444-3841.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/5/2012.


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
1183881400MEDICAIDMARYLAND
2212306MEDICARE ID-TYPE UNSPECIFIED

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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