Provider Demographics
NPI:1174833578
Name:OWINGS MILLS MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:OWINGS MILLS MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-581-7413
Mailing Address - Street 1:10902 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2575
Mailing Address - Country:US
Mailing Address - Phone:410-581-7413
Mailing Address - Fax:410-581-7415
Practice Address - Street 1:10902 REISTERSTOWN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2575
Practice Address - Country:US
Practice Address - Phone:410-581-7413
Practice Address - Fax:410-581-7415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty