Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V.P. FINANCE)
(410) 532-3905
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126001400
—
MD
05
—
219081800
—
MD
05
—
412532100
—
MD
01
—
8912
CAREFIRST BC/BS DC
MD
01
—
9329
CAREFIRST BC/BS DC
MD
01
—
CA3416
RAILROAD MEDICARE
MD
01
—
CA4406
RAILROAD MEDICARE
MD
01
—
FY01GO
CAREFIRST BC/BS
MD
01
—
G977
CAREFIRST BC/BS DC
MD
01
—
J429
CAREFIRST DC
MD
01
—
K496
CAREFIRST BC/BS DC
MD
01
—
KL90GO
CAREFIRST BC/BS
MD
01
—
W606
CAREFIRST BC/BS DC
MD
01
—
W617
CAREFIRST BC/BS DC
MD
Enumeration date
07/27/2006
Last updated
02/12/2009
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