1275965352 NPI number — MS-HC, LLC

Table of content: (NPI 1275965352)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275965352 NPI number — MS-HC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MS-HC, LLC
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:
6
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:
1275965352
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9601 PULASKI PARK DR
Provider Second Line Business Mailing Address:
SUITE 416
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21220-1409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-933-5678
Provider Business Mailing Address Fax Number:
410-933-1823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 EASTERN BLVD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21221-3442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-682-5500
Provider Business Practice Location Address Fax Number:
410-686-3803
Provider Enumeration Date:
07/31/2013

Additional Information

Authorized Official

Authorized Official Last Name:
YALICH
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-238-0140

Provider Taxonomy Codes

  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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