| The Good Samaritan Hospital Of Maryland Inc | |
|
5601 Loch Raven Blvd Baltimore MD 21239-2905 | |
| (410) 532-8000 | |
| Not Available |
| Full Name | The Good Samaritan Hospital Of Maryland Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| 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: (410) 532-8000 | The Good Samaritan Hospital Of Maryland Inc 5601 Loch Raven Blvd Baltimore MD 21239-2905 Ph: (410) 532-8000 |
| NPI Number | 1407870850 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407870850 | NPI | - | NPPES |
| 126001400 | Medicaid | MD | |
| 219081800 | Medicaid | MD | |
| 8912 | Other | MD | CAREFIRST BC/BS DC |
| G977 | Other | MD | CAREFIRST BC/BS DC |
| W606 | Other | MD | CAREFIRST BC/BS DC |
| 9329 | Other | MD | CAREFIRST BC/BS DC |
| CA4406 | Other | MD | RAILROAD MEDICARE |
| K496 | Other | MD | CAREFIRST BC/BS DC |
| KL90GO | Other | MD | CAREFIRST BC/BS |
| W617 | Other | MD | CAREFIRST BC/BS DC |
| 412532100 | Medicaid | MD | |
| FY01GO | Other | MD | CAREFIRST BC/BS |
| J429 | Other | MD | CAREFIRST DC |
| CA3416 | Other | MD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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