Provider Demographics
NPI:1922354075
Name:DIMENSION HEALTH CARE
Entity Type:Organization
Organization Name:DIMENSION HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TESHOME
Authorized Official - Middle Name:
Authorized Official - Last Name:TEGENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-618-3776
Mailing Address - Street 1:603 FAIRMEADE CT
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-3046
Mailing Address - Country:US
Mailing Address - Phone:410-850-4405
Mailing Address - Fax:
Practice Address - Street 1:603 FAIRMEADE CT
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090
Practice Address - Country:US
Practice Address - Phone:410-850-4405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access