| Spring Grove Hospital Center | |
|
55 Wade Ave Catonsville MD 21228-4663 | |
| (410) 402-7455 | |
| (410) 402-7094 |
| Full Name | Spring Grove Hospital Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 55 Wade Ave, Catonsville, Maryland |
| Authorized Official Name and Position | David S Helsel (SUPERINTENDENT) |
| Authorized Official Contact | 4104027455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Grove Hospital Center 55 Wade Ave Catonsville MD 21228-4663 Ph: (410) 402-7455 | Spring Grove Hospital Center 55 Wade Ave Catonsville MD 21228-4663 Ph: (410) 402-7455 |
| NPI Number | 1962493403 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 03/27/2008 |
| Medicare PECOS PAC ID | 7416859327 |
|---|---|
| Medicare Enrollment ID | O20060105000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962493403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 03040 (Maryland) | Primary |
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