MALAMA MEDICAL, LLC; NPI #1023775830

Contact Information

MALAMA MEDICAL, LLC

4604 YORK RD
BALTIMORE, MD 21212-4726

Phone: 443-802-5130
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine
Addiction Medicine	2084A0401X	79	Physician/Addiction Medicine
Community Based Residential Treatment Facility, Mental Illness	320800000X
Psychiatric Residential Treatment Facility	323P00000X
Substance Abuse Disorder Rehabilitation Facility	324500000X
Substance Abuse Treatment, Children	3245S0500X

Indicates primary specialty

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NPI Profile & details for MALAMA MEDICAL, LLC

NPI #	`1023775830`
LBN Legal business name	MALAMA MEDICAL, LLC
Authorized official	KIMELA FERGUSON - (OWNER/ NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/29/2021
Last updated	03/06/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MALAMA MEDICAL, LLC

Contact Information

Specialty

Addiction Medicine

Addiction Medicine

Community Based Residential Treatment Facility, Mental Illness

Psychiatric Residential Treatment Facility

Substance Abuse Disorder Rehabilitation Facility

Substance Abuse Treatment, Children

NPI Profile & details for MALAMA MEDICAL, LLC

Reviews for MALAMA MEDICAL, LLC