| Baltimore Healthcare And Wellness Llc | |
|
2300 Garrison Blvd Ste 100a Baltimore MD 21216-2308 | |
| (443) 762-5343 | |
| (833) 258-3941 |
| Full Name | Baltimore Healthcare And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2300 Garrison Blvd Ste 100a, Baltimore, Maryland |
| Authorized Official Name and Position | Amaris Murray (OWNER) |
| Authorized Official Contact | 4437625343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Healthcare And Wellness Llc 9501 Branchleigh Rd Randallstown MD 21133-2056 Ph: (443) 762-5343 | Baltimore Healthcare And Wellness Llc 2300 Garrison Blvd Ste 100a Baltimore MD 21216-2308 Ph: (443) 762-5343 |
| NPI Number | 1306511597 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 8628452083 |
|---|---|
| Medicare Enrollment ID | O20220902000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306511597 | NPI | - | NPPES |
| 916053100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amaris Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841844222 PECOS PAC ID: 1850715939 Enrollment ID: I20200722001752 |
| Provider Name | Keva S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144963059 PECOS PAC ID: 5698159879 Enrollment ID: I20220907002955 |
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