Provider Demographics
NPI:1154690592
Name:MAYOR AND CITY COUNCIL OF BALTIMORE
Entity type:Organization
Organization Name:MAYOR AND CITY COUNCIL OF BALTIMORE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING AND REVENUE MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:ALONZO
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-739-3253
Mailing Address - Street 1:1001 E. FAYETTE ST.
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202
Mailing Address - Country:US
Mailing Address - Phone:410-396-4398
Mailing Address - Fax:410-396-1617
Practice Address - Street 1:1001 E FAYETTE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4715
Practice Address - Country:US
Practice Address - Phone:410-396-4387
Practice Address - Fax:410-396-1617
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAYOR AND CITY COUNCIL OF BALTIMORE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-14
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare