Organization
GRACE MEDICAL CENTER, INC.
Active
Organization
GRACE MEDICAL CENTER, INC.
Active
Other names
Grace Medical Center - Outpatient Renal Dialysis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BERKLEY-BROWN (AVP OPERATIONS)
(410) 362-3378
Entity
Organization
Contact information
Practice address
2000 W BALTIMORE ST FL 2NDD, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753761100
—
MD
Enumeration date
05/07/2008
Last updated
04/15/2026
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