NPIMap

Organization Active NPI

The Baltimore Station

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1114447794
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
905352 Issued in MD
Legal business name
THE BALTIMORE STATION
Practice address
140 W West St
Baltimore, MD 21230-3739
Phone
(410) 752-4454
Fax
(410) 752-4123
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Friedel
Title
Executive Director
Phone
(410) 752-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 905352 MD Primary

Addresses

Primary practice location

140 W West St
Baltimore, MD 21230-3739

Mailing address

140 W West St
Baltimore, MD 21230-3739
Phone (410) 752-4454

Other identifiers 1

IdentifierTypeStateIssuer
838003MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Baltimore Station4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 W West St
Baltimore, MD 21230
Phone (410) 752-4454

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1114447794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W WEST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303739",
            "telephone_number": "410-752-4454",
            "fax_number": "410-752-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W WEST ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303739",
            "telephone_number": "410-752-4454",
            "fax_number": "410-752-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALTIMORE STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-752-4454"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "905352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.