NPI 1376775627

Baltimore County Health Dept

Organisation Health Maintenance Organization Baltimore, MD

Practice location

Address: 8600 Lasalle Rd Suite 504, Baltimore, MD 21286-2001
Phone: (410) 887-3670
Fax: (410) 887-3675
Mailing address: 8600 Lasalle Rd Suite 504, Towson, MD 21286-2001

Authorised official

Name: Carrie Miller
Title: Director
Phone: (410) 887-3828

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence SC1241 (MD)

Other Health Maintenance Organization providers in Maryland →

Registry record

NPI: 1376775627
Entity type: Organization
NPI issued: 20 Aug 2009
Record last updated: 20 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.