Provider Demographics
NPI:1073103438
Name:BCI AM HEALTH LLC
Entity Type:Organization
Organization Name:BCI AM HEALTH LLC
Other - Org Name:BCI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-241-7766
Mailing Address - Street 1:3700 ODONNELL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-5269
Mailing Address - Country:US
Mailing Address - Phone:410-241-7766
Mailing Address - Fax:410-484-3909
Practice Address - Street 1:1121 SAINT AGNES LN
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-5179
Practice Address - Country:US
Practice Address - Phone:410-241-7766
Practice Address - Fax:410-484-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center