BALTIMORE MEDICAL SYSTEM, INC. (NPI# 1720084528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720084528 |
| Entity Type | Organization |
| Organization Name | BALTIMORE MEDICAL SYSTEM, INC. |
| Practice Address |
3612 Falls Rd Baltimore MD 21211-1814 |
| Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
| Practice Telephone | 4105584848 |
| Practice Fax Number | 4102353075 |
| Mailing Telephone | 4107328800 |
| Mailing Fax Number | 4103271893 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | MR. JAY WOLVOVSKY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4105584891 |
| Is Organization Subpart | N |
| 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 | 376751500 | 05 | |
| MD | 376751512 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
| 1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
| 1407998792 | Baltimore Medical System, Inc. | Clinic/Center | 801 S Highland Ave, Baltimore, MD 21224-5131 | 2007-02-13 |
| 1518008325 | Baltimore Medical System, Inc. | Clinic/Center | 5001 Sinclair Ln, Baltimore, MD 21206-5937 | 2007-02-12 |
| 1700882503 | Baltimore Medical System, Inc. | Clinic/Center | 3501 Sinclair Ln, Baltimore, MD 21213-2029 | 2005-06-27 |
| 1912903436 | Baltimore Medical System, Inc. | Clinic/Center | 4000 Annapolis Rd, Rear 105, Baltimore, MD 21227-3611 | 2005-06-21 |
| 1174803456 | Baltimore Medical System, Inc. | Clinic/Center | 6900 Park Heights Ave, Baltimore, MD 21215-1608 | 2011-08-18 |
| 1184904443 | Baltimore Medical System, Inc. | Clinic/Center | 1919 N Broadway, Baltimore, MD 21213-1432 | 2011-08-18 |
| 1447302203 | Baltimore Medical System, Inc. | Clinic/Center | 3701 Eastern Ave, Baltimore, MD 21224-4208 | 2007-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BALTIMORE MEDICAL SYSTEM, INC. | 3501 Sinclair Ln, Baltimore, MD 21213-2029 |
| Street Address |
3612 FALLS RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596651 | Hampden Health Solutions At The Rail, Inc | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2016-09-15 |
| 1588118137 | Hampden Health Solutions At The Rail, Inc | Counselor | 3612 Falls Rd, Baltimore, MD 21211 | 2016-08-12 |
| 1962896795 | Hampden Health Solutions | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2015-03-18 |
| 1770860207 | Ascent Solutions Maryland, LLC | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2011-11-11 |
| 1629396817 | Lawanda Verna Sykes | Technician, Pathology | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2010-05-12 |
| 1679807150 | Hampden Health Solutions At The Rail, Inc. | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2009-09-30 |
| 1093984163 | Chimax Medical Center, LLC | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1869 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| 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 |
|---|---|---|---|---|
| 1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
| 1083087878 | Mergenthaler Vocational-technical High School | Clinic/Center | 3500 Hillen Rd, Baltimore, MD 21218-2227 | 2015-11-03 |
| 1952778573 | Vanguard Collegiate Middle School | Clinic/Center | 5000 Truesdale Rd, Baltimore, MD 21206-6145 | 2015-08-31 |
| 1881087336 | Total Health Care Inc | Clinic/Center | 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 | 2015-03-09 |
| 1346664562 | Patterson High School | Clinic/Center | 100 Kane Street, Baltimore, MD 21224 | 2014-02-07 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| 1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
| 1942501150 | Baltimore Medical System, Inc | Clinic/Center | 1101 N Wolfe St, Baltimore, MD 21213-3310 | 2010-11-04 |
| 1346540606 | Total Health Care, Inc. | Clinic/Center | 827 Linden Boulevard, Baltimore, MD 21202 | 2010-11-02 |
| 1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
| 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.