Provider Demographics
NPI:1790012987
Name:GLOBAL HEALTH SERVICES, INC-PRP
Entity Type:Organization
Organization Name:GLOBAL HEALTH SERVICES, INC-PRP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORREA-CASHDOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-833-0581
Mailing Address - Street 1:219 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1213
Mailing Address - Country:US
Mailing Address - Phone:410-833-0581
Mailing Address - Fax:410-833-8604
Practice Address - Street 1:219 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1213
Practice Address - Country:US
Practice Address - Phone:410-833-0581
Practice Address - Fax:410-833-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-113104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD206POtherMEDICARE GROUP #
MD643932OtherVALUE OPTIONS PROVIDER ID#
MD409427100Medicaid