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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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