Provider Demographics
NPI:1548281520
Name:UNION MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:UNION MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. OF MEDICAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:B
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-554-2260
Mailing Address - Street 1:201 E UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2829
Mailing Address - Country:US
Mailing Address - Phone:410-554-2000
Mailing Address - Fax:
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:410-554-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG425OtherCAREFIRST BC/BS DC
MDW645OtherCAREFIRST BC/BS DC
MDW646OtherCAREFIRST BC/BS DC
MD8811OtherCAREFIRST BC/BS DC
MD1087OtherCAREFIRST BC/BS DC
MD433AUNOtherCAREFIRST BC/BS
MDJ945OtherCAREFIRST BC/BS DC
MDKV19UNOtherCAREFIRST BC/BS
MDW604OtherCAREFIRST BC/BS DC
MDW644OtherCAREFIRST BC/BS DC
MDW667OtherCAREFIRST BC/BS DC
MD1050OtherCAREFIRST BC/BS DC
MD1086OtherCAREFIRST BC/BS DC
MD2654OtherCAREFIRST BC/BS DC
MD3319504 00Medicaid
MDCC1776OtherRAILROAD MEDICARE
MD4091507Medicaid
MDH949OtherCAREFIRST BC/BS DC
MDJ681OtherCAREFIRST BC/BS DC
MDK453Medicare PIN