Organization
CHASE BREXTON HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE EASTON (DIRECTOR OF REVENUE CYCLE)
(410) 837-2050
Entity
Organization
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446283100
—
MD
Enumeration date
11/22/2019
Last updated
02/24/2020
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