Healthcare Provider Details

I. General information

NPI: 1760582928
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/20/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SOUTH PACA STREET
BALTIMORE MD
21201-1734
US

IV. Provider business mailing address

11 S PACA ST
BALTIMORE MD
21201-1791
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-5243
  • Fax:
Mailing address:
  • Phone: 410-328-5243
  • Fax: 410-328-2920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP01944
License Number StateMD

VIII. Authorized Official

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