| The Good Samaritan Hospital Of Maryland Inc | |
|
5601 Loch Raven Blvd Baltimore MD 21239-2905 | |
| (443) 444-8000 | |
| Not Available |
| Full Name | The Good Samaritan Hospital Of Maryland Inc |
|---|---|
| Speciality | Clinic/center - Radiology |
| Location | 5601 Loch Raven Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Deana Stout (V.P. FINANCE) |
| Authorized Official Contact | 4105323905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Samaritan Hospital Of Maryland Inc 5601 Loch Raven Blvd Baltimore MD 21239-2905 Ph: (443) 444-8000 | The Good Samaritan Hospital Of Maryland Inc 5601 Loch Raven Blvd Baltimore MD 21239-2905 Ph: (443) 444-8000 |
| NPI Number | 1235395138 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235395138 | NPI | - | NPPES |
| 82FHGO | Other | MD | CAREFIRST BLUECROSS BLUESHIELD MD |
| 8128 | Other | MD | CAREFIRST BLUECROSS BLUE SHIELD DC |
| 414461900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 30029 (Maryland) | Secondary |
| 261QR0200X | Clinic/center - Radiology | 30029 (Maryland) | Primary |
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