| University Of Maryland Medical Center, Llc | |
|
701 W Pratt St Fl 5 Baltimore MD 21201-1023 | |
| (410) 328-1406 | |
| (410) 328-1614 |
| Full Name | University Of Maryland Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 701 W Pratt St Fl 5, Baltimore, Maryland |
| Authorized Official Name and Position | George Sprinkel (CFO) |
| Authorized Official Contact | 4103281501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Medical Center, Llc Po Box 64277 Baltimore MD 21264-4277 Ph: (410) 328-7037 | University Of Maryland Medical Center, Llc 701 W Pratt St Fl 5 Baltimore MD 21201-1023 Ph: (410) 328-1406 |
| NPI Number | 1861580425 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861580425 | NPI | - | NPPES |
| 268863800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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