Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Other names
Greater Baden Medical Service at Capitol Heights I
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Authorized official
JEFFREY A KURCAB (CFO)
(301) 599-2172
Entity
Organization
Contact information
Practice address
1458 ADDISON RD S, CAPITOL HEIGHTS, MD 20743-4413
(301) 324-1500
(301) 324-6405
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-2233
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911431900
—
MD
Enumeration date
09/23/2008
Last updated
02/29/2024
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