BON SECOURS HOSPITAL BALTIMORE INC (NPI# 1003206319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003206319 |
| Entity Type | Organization |
| Organization Name | BON SECOURS HOSPITAL BALTIMORE INC |
| Other Organization Name | BON SECOURS BALTIMORE OUTPATIENT DIALYSIS CENTER |
| Practice Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Practice Telephone | 4103623000 |
| Practice Fax Number | 4103623218 |
| Mailing Telephone | 4103623000 |
| Mailing Fax Number | 4103623218 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | REBECCA A ALTMAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4103623000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
210013 | MD | Ambulatory Health Care Facilities |
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
212309 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 753761100 | 05 |
| Other Name | Type Code |
|---|---|
| Bon Secours Baltimore Outpatient Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811240 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1720361322 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2011-09-21 |
| 1588809503 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2008-12-04 |
| Street Address |
2000 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
| 1538724604 | Oluwatosin A Fanimo | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2019-05-04 |
| 1003382433 | Christina Joy Williamson | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-10-24 |
| 1447768072 | Francine Dorothea Madden | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-01-17 |
| 1407365760 | Kathryn Diana Violette | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-09-29 |
| 1992226872 | Sara Foresman | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-06-30 |
| 1114478559 | Bon Secours Hospital Baltiimore Ind | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-20 |
| 1497205066 | Bon Secours Hospital Baltimore, Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-07 |
| 1831649466 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1558811240 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| 1851740096 | Northpoint Dialysis Clinic LLC | Clinic/Center | 1046 North Point Road, Baltimore, MD 21224 | 2016-06-08 |
| 1699121517 | Fresenius Medical Care Nw Baltimore, LLC | Clinic/Center | 2 Hamill Rd Ste 200, Baltimore, MD 21210-1817 | 2016-05-10 |
| 1689035693 | Baltimore County Dialysis, LLC | Clinic/Center | 407 N Caroline St Ste 100, Baltimore, MD 21231-1003 | 2016-03-18 |
| 1346621554 | Kidney Home Center, LLC | Clinic/Center | 200 Saint Paul St Ste 5, Baltimore, MD 21202-2025 | 2015-06-12 |
| 1942623129 | Braidwood Dialysis LLC | Clinic/Center | 200 Saint Paul Pl, Suite 5, Baltimore, MD 21202-2004 | 2014-01-24 |
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1821330952 | Fresenius Medical Care Essex Dundalk, LLC | Clinic/Center | 1107 N Point Blvd Ofc Park, Suite 201, Baltimore, MD 21224-3420 | 2013-03-27 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1073720827 | Bio Medical Applications of Maryland Inc | Clinic/Center | 1104 Walters Ave, Baltimore, MD 21239 | 2007-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.