| Baltimore Medical System Inc | |
|
1040 Park Ave Ste 200 Baltimore MD 21201-5634 | |
| (410) 732-8800 | |
| Not Available |
| Full Name | Baltimore Medical System Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1040 Park Ave Ste 200, Baltimore, Maryland |
| Authorized Official Name and Position | Shirley A Sutton (PRESIDENT/CEO) |
| Authorized Official Contact | 4105584890 |
| 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) 558-4890 | Baltimore Medical System Inc 1040 Park Ave Ste 200 Baltimore MD 21201-5634 Ph: (410) 732-8800 |
| NPI Number | 1851817431 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851817431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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