NPIMap

Organization Active NPI

Baltimore Medical System

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1346664562
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BALTIMORE MEDICAL SYSTEM
Practice address
100 Kane Street
Baltimore, MD 21224
Phone
(410) 732-8800
Fax
(410) 510-1393
NPI assigned
Feb 7, 2014
Reactivated
Jun 1, 2023
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Shirley Sutton
Title
President/Ceo
Phone
(410) 558-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

100 Kane Street
Baltimore, MD 21224

Mailing address

5525 Eastern Ave Ste 301
Baltimore, MD 21224-2796
Phone (410) 732-8800

National Provider Directory

National Provider Directory
Tax ID family
Baltimore Medical System Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

100 Kane St
Baltimore, MD 21224
Phone (410) 396-5673

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1346664562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 EASTERN AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242796",
            "telephone_number": "410-732-8800",
            "fax_number": "410-510-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KANE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-732-8800",
            "fax_number": "410-510-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE MEDICAL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "deactivation_date": "2023-05-13",
        "reactivation_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-558-4891"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2024; 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.