Healthcare Provider Details

I. General information

NPI: 1265830814
Provider Name (Legal Business Name): MARYLAND GENERAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 LINDEN AVE STE B
BALTIMORE MD
21201-4606
US

IV. Provider business mailing address

PO BOX 69043
BALTIMORE MD
21264-9039
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-8240
  • Fax: 410-225-8804
Mailing address:
  • Phone: 717-428-0552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number104721
License Number StateMD

VIII. Authorized Official

Name: GEORGE SPRINKEL
Title or Position: SR VP AND CHIEF FINANCIAL OFFICER
Credential:
Phone: 410-328-1501