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
01
—
LQ23JH
CAREFIRST BC/BS
MD
01
—
W616
CAREFIRST BC/BS DC
MD
Enumeration date
07/22/2006
Last updated
01/28/2008
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