| Baltimore Medical System, Inc. | |
|
5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 | |
| (410) 732-8800 | |
| (410) 327-1693 |
| Full Name | Baltimore Medical System, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5525 Eastern Ave Ste 301, Baltimore, Maryland |
| Authorized Official Name and Position | Shirley Sutton (PRESIDENT / CEO) |
| Authorized Official Contact | 4105584891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Medical System, Inc. 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 732-8800 | Baltimore Medical System, Inc. 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 732-8800 |
| NPI Number | 1700882503 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700882503 | NPI | - | NPPES |
| 376751512 | Medicaid | MD | |
| 376751503 | Medicaid | MD | |
| 376751508 | Medicaid | MD | |
| 376751510 | Medicaid | MD | |
| 376751513 | Medicaid | MD | |
| 376751500 | Medicaid | MD | |
| 376751502 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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