GRACE MEDICAL CENTER, INC. (NPI# 1326265653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326265653 |
| Entity Type | Organization |
| Organization Name | GRACE MEDICAL CENTER, INC. |
| Other Organization Name | ACT/ MOBILE TREATMENT & HEALTH HOME |
| Practice Address |
6000 Metro Drive Baltimore MD 21215-3222 |
| Mailing Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Practice Telephone | 4103834952 |
| Practice Fax Number | 4103834924 |
| Mailing Telephone | 4103623000 |
| Mailing Fax Number | 4103834924 |
| Enumeration Date | 2007-04-19 |
| 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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 630411700 | 05 |
| Other Name | Type Code |
|---|---|
| ACT/ Mobile Treatment & Health Home | Other Name - Individual/Organization |
| Mobile Treatment Program | 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 |
| 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 |
| 1407207020 | 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 |
6000 METRO DRIVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 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.