1003972530 NPI number — JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003972530 NPI number — JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
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:
JOHNS HOPKINS OUTPATIENT PHARMACY AT BAYVIEW
Provider Other Organization Name Type Code:
3
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:
1003972530
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 418854
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-8854
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-997-0001
Provider Business Mailing Address Fax Number:
443-997-0011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4940 EASTERN AVE
Provider Second Line Business Practice Location Address:
BMO BUILDING, ROOM 01-0154
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224-2735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-550-0961
Provider Business Practice Location Address Fax Number:
410-550-5566
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRANCIOLI
Authorized Official First Name:
CARL
Authorized Official Middle Name:
HENRY
Authorized Official Title or Position:
VICE PRESIDENT OF FINANCE
Authorized Official Telephone Number:
410-955-6552

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  P02057 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X , with the licence number: P02057 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2112934 . This is a "NCPDP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4125355 00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4131509 00 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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