| 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 | Psychiatry & Neurology - Neurology |
| Location | 5601 Loch Raven Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Deana Stout (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4434443841 |
| 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 | 1225276702 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225276702 | NPI | - | NPPES |
| W606 | Other | MD | CAREFIRST BLUECHOICE DC |
| 219081800 | Medicaid | MD | |
| FY01GO | Other | MD | CAREFIRST BC/BS MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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