Basic Information
| Provider Information | |||||||||
| NPI: | 1487759742 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FRANKLIN SQUARE HOSPITAL CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9000 FRANKLIN SQUARE DR | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212373901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4437777000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9000 FRANKLIN SQUARE DR | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212373901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4437777000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 06/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | STEELE-WHITE | ||||||||
| AuthorizedOfficialFirstName: | JAMIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALING ASSOCIATE | ||||||||
| AuthorizedOfficialTelephone: | 4109333073 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | Y | Hospital Units | Psychiatric Unit |
ID Information
| ID | Type | State | Issuer | Description | H453FR | 01 | MD | CAREFIRST MD | OTHER | W605 | 01 | MD | CAREFIRST- DC | OTHER | F948 | 01 | MD | CAREFIRST-DC | OTHER | 042311400 | 05 | MD | MEDICAID | 361821801 | 05 | MD | MEDICAID | LL08FR | 01 | MD | CAREFIRST MD | OTHER | CA7373 | 01 | MD | RAILROAD MEDICARE | OTHER |