Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Other names
Greater Baden Medical Service at Pax River
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Authorized official
JEFFREY A KURCAB (CFO)
(301) 599-2172
Entity
Organization
Contact information
Practice address
21625 GREAT MILLS RD, LEXINGTON PARK, MD 20653-1239
(301) 637-8331
(301) 637-6625
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-3322
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911431900
—
MD
Enumeration date
08/24/2022
Last updated
03/13/2025
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