Provider Demographics
NPI:1639342041
Name:TOWSON UNIVERSITY DOWELL HEALTH CENTER
Entity Type:Organization
Organization Name:TOWSON UNIVERSITY DOWELL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROCUREMENT OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:LIGHT
Authorized Official - Last Name:SLAICH
Authorized Official - Suffix:
Authorized Official - Credentials:CPPO, CPM
Authorized Official - Phone:410-704-8233
Mailing Address - Street 1:PO BOX 5199
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5199
Mailing Address - Country:US
Mailing Address - Phone:866-890-6390
Mailing Address - Fax:325-437-8390
Practice Address - Street 1:8000 YORK RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-804-2466
Practice Address - Fax:410-704-3715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWSON UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty