MEDICARE: THE JOHNS HOPKINS HOSPITAL

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	291U00000X	Clinical Medical Laboratory	008	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	:	1992803266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JOHNS HOPKINS HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 632050
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21263-2050
Country	:	US
Telephone Number	:	410-933-1306
Fax Number	:	410-933-1509

Provider Business Practice Location Address
First Line	:	600 NORTH WOLFE STREET
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21287-6417
Country	:	US
Telephone Number	:	410-955-2660
Fax Number	:	410-955-5961

Authorized Official
Title or Position	:	VICE PRESIDENT, TREASURER, CFO,JHHS
Name	:	MR. RONALD J WERTHMAN
Credential	:
Telephone Number	:	410-955-6552

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/08/2010

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