Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Active
Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Active
Other names
Manor Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (VP OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
6600 RIDGE RD, BALTIMORE, MD 21237-4209
(443) 444-3841
Mailing address
8020 CORPORATE DR, BALTIMORE, MD 21236-4978
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160700600
—
MD
Enumeration date
10/12/2006
Last updated
03/05/2012
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