NPIMap

Organization Active NPI

Greater Baden Medical Service Incorporated

Doing business as Greater Baden Health Services

  • Federally Qualified Health Center (FQHC)
  • Brandywine, MD
National Provider Identifier
1700036183
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Doing business as
Greater Baden Health Services
Practice address
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone
(301) 599-0460
Fax
(301) 888-9133
NPI assigned
Sep 23, 2008
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Tameka McLeod
Title
Project Coordinator
Phone
(301) 658-7226

Specialties & licenses 1

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

Addresses

Primary practice location

7450 Albert Rd FL 3
Brandywine, MD 20613-3035

Mailing address

7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (301) 599-0460

Other identifiers 1

IdentifierTypeStateIssuer
911431900MedicaidMD

Other names 1

  • GREATER BADEN HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Baden Medical Service Inc15 organizations share this tax ID, including this one
Part of
Greater Baden Medical Service Inc

Other organizations with this tax ID 14

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

View all 14

Locations

13605 Baden Westwood Rd
Brandywine, MD 20613

9440 Pennsylvania Ave
Ste 160
Upper Marlboro, MD 20772
Phone (301) 599-0460

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1700036183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-599-0460",
            "fax_number": "301-599-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-599-0460",
            "fax_number": "301-888-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
        "enumeration_date": "2008-09-23",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "PROJECT COORDINATOR",
        "authorized_official_telephone_number": "301-658-7226"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911431900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREATER BADEN HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREATER BADEN HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.