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Organization

NORTHWEST HOSPITAL CENTER, INC.

Active
Parent organization
NORTHWEST HOSPITAL CENTER, INC.
Other names
Northwest CHF Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST HOSPITAL CENTER, INC.
Authorized official
MRS. DAVID MCCORMICK (AVP)
(410) 701-4618
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
09/20/2006
Last updated
10/20/2021
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