Healthcare Provider Details

I. General information

NPI: 1275355828
Provider Name (Legal Business Name): GREATER BALTIMORE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6535 N CHARLES ST STE 250
BALTIMORE MD
21204-5829
US

IV. Provider business mailing address

6701 N CHARLES STREET S CHAPMAN BUILDING STE 102
BALTIMORE MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-8400
  • Fax:
Mailing address:
  • Phone: 443-849-2459
  • Fax: 443-849-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LAURIE BEYER
Title or Position: EVP & CFO
Credential:
Phone: 443-849-2519