Healthcare Provider Details

I. General information

NPI: 1245437151
Provider Name (Legal Business Name): THE JOHNS HOPKINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 12/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST MEYER 144D
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

PO BOX 632051
BALTIMORE MD
21263-2051
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-2004
  • Fax: 410-955-5795
Mailing address:
  • Phone: 443-997-0001
  • Fax: 443-997-0011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number30034
License Number StateMD

VIII. Authorized Official

Name: RONALD J WERTHMAN
Title or Position: VP FINANCE
Credential:
Phone: 410-955-6552