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THE BALTIMORE STATION
NPI 1114447794
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since June 23, 2017CLIA Certified · 2 labs
140 W WEST ST, BALTIMORE, MD 21230(410) 752-4454(410) 752-4123 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Jul 21, 2022, Sep 16, 2019 and 1 more (4 updates tracked since 2017).

About The Baltimore Station NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BALTIMORE STATION (NPI 1114447794) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists John Friedel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114447794
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE BALTIMORE STATION
Location Address140 W WEST STBaltimore, MD 21230-3739
Mailing Address140 W West StBaltimore, MD 21230-3739 · (410) 752-4454 · Fax (410) 752-4123
Phone(410) 752-4454
Fax(410) 752-4123
Organization SubpartNo
Authorized OfficialJohn FriedelExecutive Director · (410) 752-4454
Enumeration DateJune 23, 2017
Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1114447794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MD · 905352
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
140 W WEST ST, Baltimore, MD 21230
Open in Google Maps ↗

Other Identifiers 1

Medicaid838003MD

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2176586

The Baltimore Station · Baltimore, MD
Active · expires Dec 17, 2027
CLIA Number21D2176586
Laboratory TypeAlcohol & Other Drug/Mh
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorTracy D. Davis
Laboratory Phone(410) 752-4454
Laboratory LocationThe Baltimore Station140 W West Street, Baltimore, MD 21230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2176589

The Baltimore Station · Baltimore, MD
Active · expires Dec 17, 2027
CLIA Number21D2176589
Laboratory TypeAlcohol & Other Drug/Mh
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorVeronica R. Tucker
Laboratory Phone(410) 752-4454
Laboratory LocationThe Baltimore Station1611 Baker Street, Baltimore, MD 21217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL PHILLIP MARTIN
Counselor (Addiction (Substance Use Disorder))
140 W WEST ST
BALTIMORE, MD 21230
Baltimore City (410) 752-4454
STEVEN TROY YOUNGBLOOD LCSW-C
Social Worker (Clinical)
140 W WEST ST
BALTIMORE, MD 21230
Baltimore City (410) 768-5688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Baltimore Station's NPI number?

The NPI number for The Baltimore Station is 1114447794. It was assigned to this organization in the NPPES registry on June 23, 2017.

Where is The Baltimore Station located?

The Baltimore Station is located at 140 W West St, Baltimore, MD 21230. The listed phone number is (410) 752-4454.

What is The Baltimore Station's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does The Baltimore Station hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for The Baltimore Station was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.