Baltimore Medical System, Inc. | |
1409 N Collington Ave Baltimore MD 21213-3418 | |
(410) 342-9418 | |
Not Available |
Full Name | Baltimore Medical System, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1409 N Collington Ave, Baltimore, Maryland |
Authorized Official Name and Position | Shirley Sutton (PRESIDENT/CEO) |
Authorized Official Contact | 4105584891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baltimore Medical System, Inc. 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 732-8800 | Baltimore Medical System, Inc. 1409 N Collington Ave Baltimore MD 21213-3418 Ph: (410) 342-9418 |
NPI Number | 1437380581 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 06/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437380581 | NPI | - | NPPES |
376751507 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
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