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Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELLIS (SENIOR VP CORPORATE STRATEGY)
(443) 849-3284
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-2000
Mailing address
6701 N CHARLES ST, S. CHAPMAN BLDG SUITE 102, BALTIMORE, MD 21204-6808
(443) 849-3138
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
03-015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000455300
—
MD
01
—
59023901
CAREFIRST OF MARYLAND
MD
01
—
MD4
CAREFIRST BLUECHOICE
MD
Enumeration date
06/09/2006
Last updated
10/30/2017
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