Organization
UNIVERSITY SPECIALTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY FRANEY (SENIOR VICE PRESIDENT & CFD)
(410) 328-3276
Entity
Organization
Contact information
Practice address
611 SOUTH CHARLES STREET, BALTIMORE, MD 21230
(410) 547-8500
(410) 821-4189
Mailing address
1301 YORK ROAD, SUITE 600, LUTHERVILLE, MD 21093
(410) 821-4162
(410) 821-4189
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
30075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825700
—
MD
01
—
57390801
BC OF MARYLAND
MD
01
—
NK7
BLUE CHOICE BLUE PREFERRE
MD
Enumeration date
02/02/2007
Last updated
04/20/2008
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