| Organization Name: | CLIFTON T. PERKINS HOSPITAL CENTER |
| NPI Number: | 1538151477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARCHIE T. WALLACE (ACTING CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 8450 Dorsey Run Rd Jessup |
| State: | MD US |
| Postal Code: | 207949486 |
| Phone Number: | 4107243207 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 284300000X |
| License Number: | 13-001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Special Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |