NPI 1538151477

Clifton T. Perkins Hospital Center

Organisation Special Hospital Jessup, MD

Practice location

Address: 8450 Dorsey Run Rd, Jessup, MD 20794-9486
Phone: (410) 724-3207

Authorised official

Name: Archie T. Wallace
Title: Acting Chief Executive Officer
Phone: (410) 724-3001

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence 13-001 (MD)

Other Special Hospital providers in Maryland →

Registry record

NPI: 1538151477
Entity type: Organization
NPI issued: 17 Aug 2005
Record last updated: 22 Aug 2020

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.