Provider Demographics
NPI:1740857747
Name:JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-550-0781
Mailing Address - Street 1:5200 EASTERN AVENUE
Mailing Address - Street 2:MASON F. LORD BUILDING, EAST TOWER, 2ND FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224
Mailing Address - Country:US
Mailing Address - Phone:410-550-0004
Mailing Address - Fax:
Practice Address - Street 1:5200 EASTERN AVENUE
Practice Address - Street 2:MASON F. LORD BUILDING, EAST TOWER, 2ND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory