GRACE MEDICAL CENTER, INC. (NPI# 1104151091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104151091 |
| Entity Type | Organization |
| Organization Name | GRACE MEDICAL CENTER, INC. |
| Other Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH |
| Practice Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Practice Telephone | 4103623000 |
| Practice Fax Number | 3016311002 |
| Mailing Telephone | 4103623000 |
| Mailing Fax Number | 3016311002 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | REBECCA A ALTMAN (VP) |
| Authorized Official Telephone | 4103623000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 419888300 | 05 |
| Other Name | Type Code |
|---|---|
| BON SECOURS HOSPITAL. INC/BEHAVIORAL HEALTH (PRO FEE) | Doing Business As Name - Organization |
| DEPARTMENT OF BEHAVIORAL HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996807 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr, Baltimore, MD 21215-3222 | 2011-05-11 |
| 1679718696 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St Rm Ew333, Baltimore, MD 21223-1558 | 2008-12-04 |
| 1295954451 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2007-04-25 |
| 1326265653 | Grace Medical Center, Inc. | Clinic/Center | 6000 Metro Drive, Baltimore, MD 21215-3222 | 2007-04-19 |
| 1851404933 | Grace Medical Center, Inc. | General Practice | 722 S Western Ave, Los Angeles, CA 90005-3112 | 2006-08-16 |
| 1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
| 1922081231 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2005-11-22 |
| 1427694793 | Grace Medical Center, Inc. | Community/Behavioral Health | 6000 Metro Dr Ste 110, Baltimore, MD 21215-3222 | 2019-11-21 |
| 1336590868 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-27 |
| 1770934390 | Grace Medical Center, Inc. | General Acute Care Hospital | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2016-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRACE MEDICAL CENTER, INC. | 2000 West Baltimore St, Baltimore, MD 21223-1558 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961510 | Comptroller of Maryland Central Payroll Bureau | General Acute Care Hospital | 1 W Pratt St, Baltimore, MD 21201-2433 | 2020-04-17 |
| 1215312350 | Abdullah Alsuwailem | General Acute Care Hospital | 22 S Greene St., Baltimore, MD 21201 | 2015-07-29 |
| 1083099923 | Johns Hopkins | General Acute Care Hospital | 777 S Eden St Apt 1106, Baltimore, MD 21231-2848 | 2015-07-21 |
| 1811371537 | Norma Velasco Flores | General Acute Care Hospital | 7516 Gilley Ter, Baltimore, MD 21237-3703 | 2015-07-13 |
| 1093120107 | Alexandra Forest | General Acute Care Hospital | 8 Charles Plz Apt 1108, Baltimore, MD 21201-4219 | 2014-06-26 |
| 1477978807 | Johns Hopkins Hospital | General Acute Care Hospital | 1800 Orleans St # 6107d, Baltimore, MD 21287-0010 | 2014-02-21 |
| 1285073239 | Allegheny General Hospital | General Acute Care Hospital | 10 S Calhoun St, Baltimore, MD 21223-2409 | 2013-06-21 |
| 1376989368 | Gilbert Miracle Burnham | General Acute Care Hospital | 615 N Wolfe St # E8132, Baltimore, MD 21205-2103 | 2013-05-16 |
| 1508115122 | Saint Agnes Hospital | General Acute Care Hospital | 1210 Westerlee Pl Apt T1, Baltimore, MD 21228-3733 | 2012-08-29 |
| 1699020917 | Johns Hopkins | General Acute Care Hospital | 951 Fell St, Apt 618, Baltimore, MD 21231-3586 | 2012-07-24 |
| Find all providers in BALTIMORE | ||||
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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.