| Created For Greater Health Systems | |
|
5411 Old Frederick Rd Ste 8 Baltimore MD 21229-2126 | |
| (443) 315-5007 | |
| Not Available |
| Full Name | Created For Greater Health Systems |
|---|---|
| Speciality | Clinic/center |
| Location | 5411 Old Frederick Rd Ste 8, Baltimore, Maryland |
| Authorized Official Name and Position | Lakia Thompson (CEO) |
| Authorized Official Contact | 4433155007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Created For Greater Health Systems 22 Wellspring Cir Owings Mills MD 21117-5400 Ph: (443) 315-5007 | Created For Greater Health Systems 5411 Old Frederick Rd Ste 8 Baltimore MD 21229-2126 Ph: (443) 315-5007 |
| NPI Number | 1427608835 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427608835 | NPI | - | NPPES |
| 2018 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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