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Organization

THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANA STOUT (V.P. FINANCE)
(443) 444-3841
Entity
Organization

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414461900
MD
01
8128
CAREFIRST BC/BS DC
MD
01
82FHGO
CAREFIRST BC/BS
MD
05
852963900
MD
01
DN1416
MEDICARE RAILROAD CARRIER
MD
01
FY02GO
CAREFIRST BC/BS
MD
01
W414
CAREFIRST BC/BS DC
MD
Enumeration date
07/27/2006
Last updated
05/01/2012
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