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
—
6035
CAREFIRST BC/BS DC
MD
05
—
695012400
—
MD
01
—
8951
CAREFIRST DC
MD
01
—
CA3416
RAILROAD MEDICARE
—
01
—
CC3145
RAILROAD MEDICARE
MD
01
—
KU88GO
CAREFIRST BC/BS
MD
Enumeration date
07/26/2006
Last updated
02/12/2009
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