Woodbourne School

LBN: Woodbourne School
Woodbourne School is an health care organization with primary practice located at 1301 Woodbourne Ave , Baltimore MD 21239-3316. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Woodbourne School can be contacted via phone (410) 433-1000, or through Wilson, Anthony via phone (410) 433-1000.

Contact Information

Primary practice address
1301 Woodbourne Ave Baltimore MD 21239-3316
Fax: (410) 433-1459
Website:
Authorized official contact:
Name: Wilson, Anthony

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 3875 Maryland

Profile Details

NPI number 1679923056
LBN Legal business name Woodbourne School
DBA Doing business as
Authorized official Wilson, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 16th, 2016 - 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 1679923056 NPPES
Maryland MEDICAID 235395400

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