# NORTHWEST HOSPITAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST HOSPITAL CENTER, INC.
- **Other names:** Northwest CHF Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104924703
- **Legal business name:** NORTHWEST HOSPITAL CENTER, INC.
- **Authorized official:** MRS. DAVID MCCORMICK (AVP)
- **Authorized official phone:** (410) 701-4618

## Contact information

- **Practice address:** 5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
- **Practice address phone:** (410) 521-2200
- **Mailing address:** 5401 OLD COURT RD, ATTN: CREDENTIALING, RANDALLSTOWN, MD 21133-5103
- **Mailing address phone:** (410) 601-5524
- **Mailing address fax:** (410) 601-8946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 03-004 | MD | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/20/2021