Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Other names
GREATER BADEN HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Authorized official
TAMEKA MCLEOD (PROJECT COORDINATOR)
(301) 658-7226
Entity
Organization
Contact information
Practice address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 599-0460
(301) 888-9133
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 599-0460
(301) 599-0463
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911431900
—
MD
Enumeration date
09/23/2008
Last updated
08/15/2022
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