| Chase Brexton Health Services, Inc. | |
|
1111 N Charles St Baltimore MD 21201-5505 | |
| (410) 837-2050 | |
| (410) 752-1374 |
| Full Name | Chase Brexton Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Kyle Easton (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 4108372050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Brexton Health Services, Inc. 1111 North Charles Street Baltimore MD 21201 Ph: (410) 837-2050 | Chase Brexton Health Services, Inc. 1111 N Charles St Baltimore MD 21201-5505 Ph: (410) 837-2050 |
| NPI Number | 1629492921 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629492921 | NPI | - | NPPES |
| 132190100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 05332 (Maryland) | Primary |
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