Healthcare Provider Details

I. General information

NPI: 1174660120
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE STREET
BALTIMORE MD
21201
US

IV. Provider business mailing address

11311 MCCORMICK RD SUITE 230
HUNT VALLEY MD
21031-1004
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-8667
  • Fax: 410-821-4189
Mailing address:
  • Phone: 410-821-4140
  • Fax: 410-821-4189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number30068
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: GEORGE SPRINKEL
Title or Position: CFO
Credential:
Phone: 410-328-1501