| East Baltimore Medical Center | |
|
1000 E Eager St Baltimore MD 21202-5533 | |
| (410) 522-9800 | |
| Not Available |
| Full Name | East Baltimore Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 E Eager St, Baltimore, Maryland |
| Authorized Official Name and Position | Shirley Sutton (PRESIDENT/CEO) |
| Authorized Official Contact | 4105584891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Baltimore Medical Center 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 558-4890 | East Baltimore Medical Center 1000 E Eager St Baltimore MD 21202-5533 Ph: (410) 522-9800 |
| NPI Number | 1396366308 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 5395653455 |
|---|---|
| Medicare Enrollment ID | O20200514000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396366308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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