1548201536 NPI number — DOCTORS COMMUNITY HOSPITAL

Table of content: (NPI 1548201536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548201536 NPI number — DOCTORS COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOCTORS COMMUNITY 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:
DOCTORS COMMUNITY HOSPITAL DIABETES CENTER
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:
1548201536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 630824
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:
21263-0824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-498-2922
Provider Business Mailing Address Fax Number:
301-498-3074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8118 GOOD LUCK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANHAM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20706-3595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-552-8118
Provider Business Practice Location Address Fax Number:
301-498-3074
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FINLEY
Authorized Official First Name:
KARL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
301-552-8118

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 285CDO . This is a "GROUP PROVIDER# CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: K902 . This is a "GROUP PROVIDER# CAREFIRST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com