| Health Alliance Associates, Inc. | |
|
13 Hamilton Street Baltimore MD 21202-2120 | |
| (410) 675-7500 | |
| (443) 230-0059 |
| Full Name | Health Alliance Associates, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 13 Hamilton Street, Baltimore, Maryland |
| Authorized Official Name and Position | Suzanne Bates-crandall (CEO) |
| Authorized Official Contact | 4436136118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Alliance Associates, Inc. Po Box 103 Severna Park MD 21146-0103 Ph: () - | Health Alliance Associates, Inc. 13 Hamilton Street Baltimore MD 21202-2120 Ph: (410) 675-7500 |
| NPI Number | 1437549466 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 07/28/2021 |
| Medicare PECOS PAC ID | 5799004719 |
|---|---|
| Medicare Enrollment ID | O20150424000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437549466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Karen Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578569786 PECOS PAC ID: 9032189022 Enrollment ID: I20040728000172 |
| Provider Name | Sandra Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154440840 PECOS PAC ID: 5092970178 Enrollment ID: I20120625000254 |
| Provider Name | Kathleen S Odell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330109 PECOS PAC ID: 1153673033 Enrollment ID: I20181003001862 |
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