1134373053 NPI number — FRANKLIN SQUARE HOSPITAL CENTER, INC.

Table of content: (NPI 1134373053)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134373053 NPI number — FRANKLIN SQUARE HOSPITAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN SQUARE HOSPITAL 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:
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:
1134373053
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9105 FRANKLIN SQUARE DR
Provider Second Line Business Mailing Address:
SUITE 102, 104
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21237-3930
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-777-7878
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9105 FRANKLIN SQUARE DR
Provider Second Line Business Practice Location Address:
SUITE 102, 104
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21237-3930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-777-7878
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRANDT
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, PROFESSIONAL CONTRACTING
Authorized Official Telephone Number:
410-933-3015

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: LL08FR . This is a "CAREFIRST MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 361821801 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: CA7323 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: F948 . This is a "CAREFIRST DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".