MEDICARE: MARYLAND GENERAL HOSPITAL, INC.

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	261QM2800X	Methadone Clinic

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	:	1689677783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARYLAND GENERAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 69043
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-9039
Country	:	US
Telephone Number	:	717-428-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 LINDEN AVE STE B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-4606
Country	:	US
Telephone Number	:	410-225-8240
Fax Number	:

Authorized Official
Title or Position	:	SR VP AND CHIEF FINANCIAL OFFICER
Name	:	GEORGE SPRINKEL
Credential	:
Telephone Number	:	410-328-1501

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/08/2025

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Directions to “MARYLAND GENERAL HOSPITAL, INC. ” Practice Location

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