Organization
GRACE MEDICAL CENTER, INC.
Active
Other names
Spec Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BERKLEY-BROWN (AVP OPERATIONS)
(410) 362-3378
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 383-5101
(410) 383-4513
Mailing address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 362-3000
(410) 383-4513
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420403400
—
MD
Enumeration date
04/25/2007
Last updated
04/15/2026
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