1952325300 NPI number — HARBOR HOSPITAL

Table of content: (NPI 1952325300)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952325300 NPI number — HARBOR HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARBOR HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952325300
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3001 S HANOVER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21225-1233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-350-3200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3001 S HANOVER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21225-1233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-350-3200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAHESHWARI
Authorized Official First Name:
GOVIND
Authorized Official Middle Name:
Authorized Official Title or Position:
A.V.P
Authorized Official Telephone Number:
410-350-3636

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 158504500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 435AHA . This is a "CAREFIRST OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: KK25HA . This is a "CAREFIRST OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 158504503 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: LY77HA . This is a "CAREFIRST OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: W609 . This is a "BLUECHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 158504506 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504509 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: CJ7328 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 158504504 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504502 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504507 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504501 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504505 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158504508 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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