Provider Demographics
NPI:1497785307
Name:JOHNS HOPKINS EMERGENCY SERVICES
Entity Type:Organization
Organization Name:JOHNS HOPKINS EMERGENCY SERVICES
Other - Org Name:HOWARD COUNTY GENERAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:DR
Authorized Official - First Name:NUZHAT
Authorized Official - Middle Name:N
Authorized Official - Last Name:HANDOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-884-4888
Mailing Address - Street 1:5585 BROADWATER LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1156
Mailing Address - Country:US
Mailing Address - Phone:410-531-9054
Mailing Address - Fax:410-531-9005
Practice Address - Street 1:5575 CEDAR LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2741
Practice Address - Country:US
Practice Address - Phone:410-884-4888
Practice Address - Fax:410-884-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40734282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD370018862OtherRAILROAD
MD763881700Medicaid
MD022004300Medicaid
MD763881700Medicaid
MDE62637Medicare UPIN
MD614EMedicare PIN