Organization
NORTHWEST HOSPITAL CENTER, INC
Active
Parent organization
NORTHWEST HOSPITAL CENTER, INC
Other names
Northwest Hand Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST HOSPITAL CENTER, INC
Authorized official
MR. DAVID MCCORMICK (AVP)
(410) 701-4618
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
5401 OLD COURT RD, ATTN: CREDENTIALING, RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
03-004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN6601
R/R MEDICARE GROUP #
MD
Enumeration date
09/08/2006
Last updated
10/20/2021
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