Created For Greater Health Systems | |
5411 Old Frederick Rd Ste 8 Baltimore MD 21229-2126 | |
(443) 315-5007 | |
Not Available |
Full Name | Created For Greater Health Systems |
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Speciality | Clinic/center |
Location | 5411 Old Frederick Rd Ste 8, Baltimore, Maryland |
Authorized Official Name and Position | Lakia Thompson (CEO) |
Authorized Official Contact | 4433155007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Created For Greater Health Systems 22 Wellspring Cir Owings Mills MD 21117-5400 Ph: (443) 315-5007 | Created For Greater Health Systems 5411 Old Frederick Rd Ste 8 Baltimore MD 21229-2126 Ph: (443) 315-5007 |
NPI Number | 1427608835 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 09/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427608835 | NPI | - | NPPES |
2018 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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