Organization · Type 2 NPI

Greater Baden Medical Service Incorporated

Federally Qualified Health Center (FQHC) · Leonardtown, MD

NPI number 1922258367 Active

Practice location

23140 Moakley St Ste 4
Leonardtown, MD 20650-2923

Call (301) 997-1029 Map

Fax (301) 997-1489

Mailing address

7450 Albert Rd Fl 3
Brandywine, MD 20613-3035

Specialties and licenses

Taxonomy	Code	License
Health Educator	174H00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Andrea R. Phillips, NPFamily Nurse Practitioner Leonardtown, MD NPI 1093821977

NPI record

NPI: 1922258367
Entity type: Organization (Type 2)
Issued: Sep 23, 2008
Last updated: Oct 15, 2026
Status: Active
Subpart: Yes of Greater Baden Medical Service Incorporated

Other names

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Greater Baden Medical Service at Leonardtown · other name

Authorized official

Steve Bevans
CFO
(301) 888-2233

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922258367

Greater Baden Medical Service Incorporated's National Provider Identifier is 1922258367, issued on Sep 23, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Leonardtown, MD. The record was last updated on Oct 15, 2026.