BALTIMORE SPINE CENTER, LLC – NPI #1316962244
Clinic/Center

BALTIMORE SPINE CENTER, LLC is an AHC clinic located in LUTHERVILLE, MD. NPPES has assigned the NPI number 1316962244 to BALTIMORE SPINE CENTER, LLC on July 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 BALTIMORE SPINE CENTER, LLC below.

NPI Profile for
BALTIMORE SPINE CENTER, LLC

NPI Number
1316962244
Enumeration Date

(about 20 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
BALTIMORE SPINE CENTER, LLC
Primary location
1300 BELLONA AVE
BUILDING D
LUTHERVILLE, MD 21093-5465
Phone: (410) 828-4789 Fax: (410) 337-6999
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KYLE MOORE
ADMINISTRATOR
Phone: (410) 828-4789
Updated
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
MD A1413

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.