Basic Information
| Provider Information | |||||||||
| NPI: | 1720099286 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DIMENSIONS HEALTH CORPORATION | ||||||||
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| OtherOrganizationName: | UNIVERSITY OF MARYLAND CAPITAL REGION MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 ELKRIDGE LANDING RD FL 2 | ||||||||
| Address2: | |||||||||
| City: | LINTHICUM | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210902924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434625010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 HARRY S TRUMAN DR N | ||||||||
| Address2: | |||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207745477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2406773000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2006 | ||||||||
| LastUpdateDate: | 08/04/2022 | ||||||||
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| AuthorizedOfficialLastName: | BROZIC | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 4109131546 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | N | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | 273R00000X | 13300 | MD | N | Hospital Units | Psychiatric Unit | 281P00000X | 16029 | MD | N | Hospitals | Chronic Disease Hospital | 283X00000X | N | Hospitals | Rehabilitation Hospital | 282N00000X | 13-015 | MD | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 000345000 | 05 | MD | MEDICAID | 000745500 | 05 | MD | MEDICAID |