Organization
SIGNATURE HEALTHCARE INC.
Active
Other names
Signature Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN MAYFIELD (VICE PRESIDENT, OPERATIONS)
(410) 771-0404
Entity
Organization
Contact information
Practice address
10943 MCCORMICK RD, HUNT VALLEY, MD 21031-1401
(410) 771-0404
(410) 771-0010
Mailing address
10943 MCCORMICK RD, HUNT VALLEY, MD 21031-1401
(410) 771-0404
(410) 771-0010
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R1076
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009440400
—
MD
01
—
211310
BCBS HIGHMARK PA PROV #
PA
01
—
60412702
CAREFIRST BCBS MD PROV #
MD
01
—
80709
NORTHWOOD NPN PROV #
MD
01
—
94996
AMERICAID PROVIDER NUMBER
MD
01
—
F6050001
CAREFIRST FEDERAL PROV #
MD
01
—
MH61
CAREFIRST BCBS MD PROV #
MD
Enumeration date
09/13/2005
Last updated
06/23/2009
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