Provider Demographics
NPI:1508826017
Name:VA MARYLAND HEALTH CARE SYSTEM
Entity Type:Organization
Organization Name:VA MARYLAND HEALTH CARE SYSTEM
Other - Org Name:BALTIMORE & PERRY POINT VA MEDICAL CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:MDMPH
Authorized Official - Phone:410-605-7000
Mailing Address - Street 1:11 SAINT MICHAELS WAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1238
Mailing Address - Country:US
Mailing Address - Phone:410-377-0243
Mailing Address - Fax:410-377-4387
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014337282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital