Organization
NORTHWEST HOSPITAL CENTER, INC.
Active
Organization
NORTHWEST HOSPITAL CENTER, INC.
Active
Other names
Chronic Disease Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCORMICK (AVP)
(410) 701-4618
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4434
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4434
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211300700
—
MD
Enumeration date
06/19/2017
Last updated
07/21/2022
Update your record
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