Organization
JAMES LAWRENCE KERNAN HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA BOGIN (CFO)
(410) 448-6289
Entity
Organization
Contact information
Practice address
2200 KERNAN DR, EXECUTIVE OFFICE, SUITE 1183, BALTIMORE, MD 21207-6665
(410) 448-6701
(410) 448-2859
Mailing address
11311 MCCORMICK RD, SUITE 230, HUNT VALLEY, MD 21031-1004
(410) 821-4140
(410) 821-4189
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
30038
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093575100
—
MD
01
—
57348701
BC OF MARYLAND
MD
01
—
MD1
BLUE CHOICE BLUE PREFERRE
MD
Enumeration date
01/31/2007
Last updated
06/17/2025
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