Health Alliance Associates, Inc. | |
13 Hamilton Street Baltimore MD 21202-2120 | |
(410) 675-7500 | |
(443) 230-0059 |
Full Name | Health Alliance Associates, Inc. |
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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 |
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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 |
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Provider Enumeration Date | 01/29/2015 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 5799004719 |
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Medicare Enrollment ID | O20150424000961 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437549466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Karen Donaldson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578569786 PECOS PAC ID: 9032189022 Enrollment ID: I20040728000172 |
Provider Name | Sandra Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154440840 PECOS PAC ID: 5092970178 Enrollment ID: I20120625000254 |
Provider Name | Kathleen S Odell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104330109 PECOS PAC ID: 1153673033 Enrollment ID: I20181003001862 |
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