VICTORY MEDICAL CENTER NPI 1740798412

NPI Information

NPI: 1740798412
Provider Name: VICTORY MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2148008

Address:
1101 N POINT BLVD STE 110
BALTIMORE, MD
ZIP 21224
Phone: (443) 449-3003
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VICTORY MEDICAL CENTER is a primary care clinic center in Baltimore, MD. VICTORY MEDICAL CENTER NPI is 1740798412. The provider is registered as an organization entity type.

The provider's business location address is:

1101 N POINT BLVD STE 110
BALTIMORE, MD
ZIP 21224-417
Phone: (443) 449-3003

The provider's authorized official is Victoria Adaramaja .
The authorized official title is Nurse Practitioner and has the following contact phone number (443) 449-3003.

The CLIA number assigned to this NPI record is 21D2148008 - other - nurse practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 4/27/2018.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2300X	Clinic/Center	Primary Care	Yes
4	261QU0200X	Clinic/Center	Urgent Care	No

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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