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Baltimore Medical System

Clinic/Center, Federally Qualified Health Center (FQHC) in Baltimore, MD. Organization (NPI-2).

NPI number1265856488
StatusActive
Last updated in NPPESFeb 2, 2024

Details

NPI
1265856488
Entity type
Organization (NPI-2)
Legal business name
Baltimore Medical System
Organization subpart
No
Enumeration date
Feb 7, 2014
Certification date
Feb 2, 2024
Last updated
Feb 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Practice location

1400 Orleans Street
Baltimore, MD 21231

Phone 410-732-8800 · Fax 410-510-1393

Mailing address

5525 Eastern Ave Ste 301
Baltimore, MD 21224-2796

Phone 410-732-8800 · Fax 410-534-2392

Authorized official

Shirley Sutton
President/Ceo
4105584891

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