Organization
BALTIMORE MEDICAL SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SUTTON (PRESIDENT AND CEO)
(410) 558-4891
Entity
Organization
Contact information
Practice address
3120 ERDMAN AVE, BALTIMORE, MD 21213-1720
(410) 558-4800
(410) 675-8947
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
—
376751502
—
MD
Enumeration date
06/27/2005
Last updated
06/15/2023
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