GATEWAY MARYLAND, INC – NPI #1386860773
Voluntary or Charitable

GATEWAY MARYLAND, INC is a voluntary or charitable agency located in BALTIMORE, MD. NPPES has assigned the NPI number 1386860773 to GATEWAY MARYLAND, INC on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GATEWAY MARYLAND, INC is also known by the name CLINICAL. The primary taxonomy selected by this provider is 251V00000X from the Health Care Provider Taxonomy code set, which is classified as Voluntary or Charitable.

The NPI profile was last updated on Sep 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY MARYLAND, INC below.

NPI Profile for
GATEWAY MARYLAND, INC

NPI Number
1386860773
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY MARYLAND, INC
Other Name: CLINICAL
Primary location
5900 METRO DR
BALTIMORE, MD 21215-3207
Phone: (410) 318-6780 Fax: (410) 318-6759
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIN STAUDER
AUTHORIZED OFFICIAL
Phone: (410) 318-6780
Updated
Certification Date
Aug 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GATEWAY MARYLAND, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD157705100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251V00000X
- Voluntary or Charitable (Primary)		 MD 31008536

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.