Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Other names
Greater Baden Medical Service at Leonardtown
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
23140 MOAKLEY ST STE 4, LEONARDTOWN, MD 20650-2923
(301) 997-1029
(301) 997-1489
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-2233
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
09/23/2008
Last updated
02/29/2024
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