Organization
BALTIMORE MEDICAL SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SUTTON (PRESIDENT/CEO)
(410) 558-4891
Entity
Organization
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(443) 703-3200
(443) 703-3201
Mailing address
5525 EASTERN AVE STE 301, BALTIMORE, MD 21224-2796
(410) 732-8800
(410) 327-1693
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376751500
—
MD
05
—
376751513
—
MD
Enumeration date
06/27/2005
Last updated
12/08/2023
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