The Good Samaritan Hospital of Maryland, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC

Practice address

6600 Ridge Rd
Baltimore, MD 21237-4209

Phone

(443) 444-3841

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Deana Stout

Title

VP of Finance

Phone

(443) 444-3841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manor Care Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1811086259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CORPORATE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374209",
            "telephone_number": "443-444-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "443-444-3841"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160700600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Good Samaritan Hospital of Maryland, Inc
• The Good Samaritan Hospital of Maryland, Inc
• The Good Samaritan Hospital of Maryland, Inc
• The Good Samaritan Hospital of Maryland, Inc
• The Good Samaritan Hospital of Maryland, Inc
• The Good Samaritan Hospital of Maryland, Inc.
• The Good Samaritan Hospital of Maryland, Inc.
• The Good Samaritan Hospital of Maryland, Inc.
• The Good Samaritan Hospital of Maryland, Inc.
• The Good Samaritan Hospital of Maryland, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.