Healthcare Provider Details

I. General information

NPI: 1104234590
Provider Name (Legal Business Name): THE JOHNS HOPKINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST BLOOMBERG 9306
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

1800 ORLEANS ST BLOOMBERG 9306
BALTIMORE MD
21287-0010
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License NumberDX3435
License Number StateMD

VIII. Authorized Official

Name: TIFFIANI HAYS
Title or Position: DIRECTOR OF PEDIATRIC NUTRITION
Credential: M.S., R.D.
Phone: 410-614-4486