Debobeth Medical Center

LBN: Debobeth Medical Center
Debobeth Medical Center is an health care organization with primary practice located at 3109 Erdman Ave , Baltimore MD 21213-1765. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Debobeth Medical Center can be contacted via phone (410) 869-4602, or through Fadoju, Mercy via phone (443) 904-5129.

Contact Information

Primary practice address
3109 Erdman Ave Baltimore MD 21213-1765
Phone: (410) 869-4602
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fadoju, Mercy Nurse Practitioner (NP)
Phone: (443) 904-5129

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RI33965 Maryland

Profile Details

NPI number 1871074096
LBN Legal business name Debobeth Medical Center
DBA Doing business as
Authorized official Fadoju, Mercy Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2018
Last updated Apr 17th, 2026 - about 6 months 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 1871074096 NPPES
Maryland MEDICAID 414768500

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