BALTIMORE MEDICAL SYSTEM, INC. (NPI# 1437380581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437380581 |
| Entity Type | Organization |
| Organization Name | BALTIMORE MEDICAL SYSTEM, INC. |
| Practice Address |
1409 N Collington Ave Baltimore MD 21213-3418 |
| Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
| Practice Telephone | 4103429418 |
| Mailing Telephone | 4107328800 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | MR. JAY WOLVOVSKY (CEO) |
| Authorized Official Telephone | 4107328800 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 376751507 | 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 |
| 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 |
| 1720084528 | Baltimore Medical System, Inc. | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1814 | 2005-06-27 |
| 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 |
1409 N COLLINGTON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
| 1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
| 1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
| 1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
| 1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
| 1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
| 1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
| Find all providers in zip 21213 | ||||
| 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 |
| 1255512638 | Park West Health Systems Incorporated | Clinic/Center | 4151 Park Heights Ave, Baltimore, MD 21215-6730 | 2007-11-14 |
| 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.