MEDICARE: MORGAN STATE UNIVERSITY

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	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1407258825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN STATE UNIVERSITY

Provider Business Mailing Address
First Line	:	5050 SPRING VALLEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-3995
Country	:	US
Telephone Number	:	800-555-9073
Fax Number	:	972-367-3452

Provider Business Practice Location Address
First Line	:	1700 E COLD SPRING LN
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21251-0001
Country	:	US
Telephone Number	:	443-885-3333
Fax Number	:

Authorized Official
Title or Position	:	HEAD TRAINER
Name	:	MICHELLE DANIELS
Credential	:	M.ED, ATC/L
Telephone Number	:	443-885-3333

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	09/17/2014

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1427207778 — MRS. KATHY H. CHAN PA-C
Practice Location Address:

MORGAN STATE UNIVERSITY , WOOLFORD INFIRMARY
BALTIMORE, MD
21251-0001

Practice Phone: 443-885-1677
Practice Fax: 443-882-8232

1154751584 — MORGAN STATE UNIVERSITY HEALTH CENTER
Practice Location Address:

1700 E COLD SPRING LN
BALTIMORE, MD
21251-0001

Practice Phone: 443-885-3236
Practice Fax: 443-885-8232

1891191516 — SHANTEISHA PRUITT ATC
Practice Location Address:

1700 E COLD SPRING LN , HILL FIELD HOUSE LL119
BALTIMORE, MD
21251-0001

Practice Phone: 443-885-3486
Practice Fax:

Directions to “MORGAN STATE UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.