Provider Demographics
NPI:1497792048
Name:THE HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:THE HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:CRITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-415-5807
Mailing Address - Street 1:2700 QUARRY LAKE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3744
Mailing Address - Country:US
Mailing Address - Phone:410-415-5807
Mailing Address - Fax:410-415-5752
Practice Address - Street 1:2700 QUARRY LAKE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3744
Practice Address - Country:US
Practice Address - Phone:410-415-5807
Practice Address - Fax:410-415-5752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKS30OtherCAREFIRST
MDT-754OtherBLUECHOICE
MDT-754OtherFEDERAL BLUE CROSS
MD35880170Medicaid
MDT-754OtherBLUECHOICE
MDKS30OtherCAREFIRST
MDCA4987Medicare PIN