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GLEN BURNIE VA CLINIC
NPI 1972557304
Clinic/Center - VA in Glen Burnie, MD

Active since May 20, 2006CLIA 21D0987070 · Accreditation
808 LANDMARK DR, SUITE 128, GLEN BURNIE, MD 21061(828) 257-2333 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Glen Burnie Va Clinic NPPES

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

GLEN BURNIE VA CLINIC (NPI 1972557304) is a healthcare organization registered as a va in Glen Burnie, Maryland and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1972557304
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameBALTIMORE VAMC
Location Address808 LANDMARK DR, SUITE 128Glen Burnie, MD 21061-4983
Mailing AddressPo Box 89411Cleveland, OH 44101-6411 · (828) 257-2333
Phone(828) 257-2333
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 20, 2006
Last NPPES UpdateApril 12, 2018
✔ NPI 1972557304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
808 LANDMARK DR, Glen Burnie, MD 21061
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Other Names 1

Other NameGlen Burnie Va Clinic

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 21D0987070

Glen Burnie VA Outpatient Clinic · Glen Burnie, MD
Active · expires May 22, 2032
CLIA Number21D0987070
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 29, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorDong Lee
Laboratory Phone(410) 590-4140
Laboratory LocationGlen Burnie VA Outpatient Clinic808 Landmark Drive Suite 128, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 19

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

HORMONE REPLACEMENT CLILNIC
Specialist
808 LANDMARK DR, SUITE 116
GLEN BURNIE, MD 21061
Anne Arundel County (410) 595-5363
DR. BAYINNAH SHABAZZ M.D.
Internal Medicine (Nephrology)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
DR. JANET FERBER BROWN M.D.
Radiology (Diagnostic Radiology)
808 LANDMARK DR, SUITE 120
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-7979
NANCY COOPER
Dietitian, Registered (Nutrition, Renal)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
ANDREW ROBERT GOLDBERGER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
808 LANDMARK DR, SUITE 128
GLEN BURNIE, MD 21061
Anne Arundel County (410) 590-4141
FOOT & ANKLE CENTER OF MARYLAND, LLC
Podiatrist
808 LANDMARK DR, SUITE 225
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-3501
DR. VIJAY V KUMAR M.D.
Internal Medicine (Nephrology)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
LAUREN MICHELLE MARAGH MD
Internal Medicine
808 LANDMARK DR, SUITE 128
GLEN BURNIE, MD 21061
Anne Arundel County (410) 590-4140

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 Baltimore Vamc's NPI number?

The NPI number for Baltimore Vamc is 1972557304. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is also known as Glen Burnie VA Clinic.

Where is Baltimore Vamc located?

Baltimore Vamc is located at 808 Landmark Dr Suite 128, Glen Burnie, MD 21061. The listed phone number is (828) 257-2333.

What is Baltimore Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Baltimore Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D0987070) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baltimore Vamc was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.