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Organization

BALTIMORE MEDICAL SYSTEM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY SUTTON (PRESIDENT/CEO)
(443) 703-3658
Entity
Organization

Contact information

Practice address
600 N PATTERSON PARK AVE, BALTIMORE, MD 21205-2447
(443) 703-3664
Mailing address
5525 EASTERN AVE STE 301, BALTIMORE, MD 21224-2796
(410) 558-4804

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376751500
MD
Enumeration date
01/24/2012
Last updated
02/02/2024
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