Eastern Avenue Health Solutions

LBN: Eastern Avenue Health Solutions
Eastern Avenue Health Solutions is an health care organization with primary practice located at 5920 Eastern Ave , Baltimore MD 21224-2730. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Eastern Avenue Health Solutions can be contacted via phone (410) 631-2772, or through Watson, Charles via phone (443) 841-2598.

Contact Information

Primary practice address
5920 Eastern Ave Baltimore MD 21224-2730
Phone: (410) 631-2772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watson, Charles LGSW
Phone: (443) 841-2598

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1366821118
LBN Legal business name Eastern Avenue Health Solutions
DBA Doing business as
Authorized official Watson, Charles LGSW
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366821118 NPPES
Maryland MEDICAID 4211715

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