MEDICARE: NATIONAL CENTER ON INSTITUTION AND ALTERNATIVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	3771	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063544898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL CENTER ON INSTITUTION AND ALTERNATIVES

Provider Business Mailing Address
First Line	:	7205 RUTHERFORD RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2711
Country	:	US
Telephone Number	:	410-944-9994
Fax Number	:	410-944-7622

Provider Business Practice Location Address
First Line	:	7205 RUTHERFORD RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2711
Country	:	US
Telephone Number	:	410-944-9994
Fax Number	:	410-944-7622

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. LARRY G NORRIS
Credential	:	PHD
Telephone Number	:	410-944-9994

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/25/2008

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Directions to “NATIONAL CENTER ON INSTITUTION AND ALTERNATIVES ” Practice Location

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