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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