GREATER BADEN MEDICAL SERVICE INCORPORATED (NPI# 1093987729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093987729 |
| Entity Type | Organization |
| Organization Name | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| Other Organization Name | GREATER BADEN MEDICAL SERVICES AT CAPITOL HEIGHTS II |
| Practice Address |
1442 Addison Rd S Capitol Heights MD 20743-4413 |
| Mailing Address |
7450 Albert Rd 3rd Floor Brandywine MD 20613-3035 |
| Practice Telephone | 2404922500 |
| Practice Fax Number | 2404922526 |
| Mailing Telephone | 3015990460 |
| Mailing Fax Number | 3015992174 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | COLENTHIA A MALLOY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3015990460 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 911431900 | 05 |
| Other Name | Type Code |
|---|---|
| GREATER BADEN MEDICAL SERVICES AT CAPITOL HEIGHTS II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417107913 | Greater Baden Medical Service Incorporated | Clinic/Center | 6 Garrett Ave, La Plata, MD 20646-5959 | 2008-09-22 |
| 1659541746 | Greater Baden Medical Service Incorporated | Clinic/Center | 3028 Brightseat Rd, Suite 104, Glenarden, MD 20706-1438 | 2008-03-05 |
| 1477073773 | Greater Baden Medical Service Incorporated | Dentist | 1458 Addison Rd S, Capitol Heights, MD 20743-4413 | 2017-06-27 |
| 1669992814 | Greater Baden Medical Service Incorporated | Dentist | 6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745-3112 | 2017-06-20 |
| 1083950521 | Greater Baden Medical Service Incorporated | Clinic/Center | 6196 Oxon Hill Rd, Suite 540, Oxon Hill, MD 20745-3100 | 2013-01-02 |
| 1700036183 | Greater Baden Medical Service Incorporated | Clinic/Center | 13605 Baden Westwood Rd, Brandywine, MD 20613-8422 | 2008-09-23 |
| 1275783615 | Greater Baden Medical Service Incorporated | Clinic/Center | 1458 Addison Rd S, Capitol Heights, MD 20743-4413 | 2008-09-23 |
| 1922258367 | Greater Baden Medical Service Incorporated | Clinic/Center | 23140 Moakley St, #4, Leonardtown, MD 20650-2930 | 2008-09-23 |
| 1912927344 | Greater Baden Medical Service Incorporated | Clinic/Center | 7450 Albert Rd, 3rd Floor, Brandywine, MD 20613-8422 | 2006-07-20 |
| Street Address |
1442 ADDISON RD S |
| City | CAPITOL HEIGHTS |
| State | MD |
| Zip Code | 20743-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346625720 | Laboratory Corporation of America | Clinical Medical Laboratory | 1442 Addison Rd S, Suite Lab 3, Capitol Heights, MD 20743-4413 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417967 | Orimashe Abdulsalam Jimoh | Physical Therapist | 1801 Richie Station Court, Suite 200, Capitol Heights, MD 20743 | 2020-08-13 |
| 1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
| 1568931905 | Adedeji Charles Olagunju | Driver | 415 70th Street, Capitol Heights, MD 20743 | 2018-11-15 |
| 1568967917 | Niaisa Harvey | Technician | 5811 Walker Mill Rd, District Heights, MD 20743 | 2018-03-28 |
| 1083118582 | S Valencia Tyrell | Prevention Professional | 920 Capitol Heights Blvd, Suite #b, Capitol Heights, MD 20743 | 2018-03-20 |
| 1760901854 | Detailing Minds, Inc. | Secured Medical Transport (VAN) | 513 Millwheel Street, Capitol Heights, MD 20743 | 2017-09-11 |
| 1255860334 | Cornelia Reeder | Home Health Aide | 1110 Dunbar Oaks Dr, Capitol Heights, MD 20743 | 2017-06-12 |
| 1164978912 | Family and Medical Counseling Service, Inc | Clinic/Center | 5936 Martin Luther King Jr Hwy, Capitol Heights, MD 20743 | 2016-08-31 |
| 1629447297 | Tiffany Welch | Case Manager/Care Coordinator | 5290 Marlboro Pike, Apt 101, Capitol Heights, MD 20743 | 2015-09-24 |
| 1659740348 | Adventures One, Inc. | Clinic/Center | 5400 Norfield Rd., Capitol Heights, MD 20743 | 2015-09-23 |
| Find all providers in zip 20743 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164978912 | Family and Medical Counseling Service, Inc | Clinic/Center | 5936 Martin Luther King Jr Hwy, Capitol Heights, MD 20743 | 2016-08-31 |
| 1275783615 | Greater Baden Medical Service Incorporated | Clinic/Center | 1458 Addison Rd S, Capitol Heights, MD 20743-4413 | 2008-09-23 |
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| 1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
| City | CAPITOL HEIGHTS |
| Zip Code | 20743 |
Please comment or provide details below to improve the information on GREATER BADEN MEDICAL SERVICE INCORPORATED.
| 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.