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Kaiser Permanente-south Baltimore 1701 Twin Springs Road Halethorpe MD 21227-3553 | |
| (410) 737-5000 | |
| (443) 263-7381 |
| Full Name | |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | Kaiser Permanente-south Baltimore, Halethorpe, Maryland |
| Authorized Official Name and Position | Colleen E Swinton (DIRECTOR,CREDENTIALING/PROVIDER ENR) |
| Authorized Official Contact | 3012572797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4000 Garden City Drive 4th Floor Ppqa Hyattsville MD 20785-2418 Ph: (301) 816-2424 | Kaiser Permanente-south Baltimore 1701 Twin Springs Road Halethorpe MD 21227-3553 Ph: (410) 737-5000 |
| NPI Number | 1043378656 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 12/23/2024 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043378656 | NPI | - | NPPES |
| K679 | Other | MD | MEDICARE GROUP ID |
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Optimum Support Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Twin Springs Rd Ste A-d, Halethorpe, MD 21227 Phone: 443-618-4344 | |
Resolution Health And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Edgewood St Ste 100, Halethorpe, MD 21227 Phone: 410-275-0928 Fax: 410-701-2577 | |
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