OrganizationActive
Correctional Medical Services
NPI 1093946709 · Prison Health Clinic/Center · Jessup, MD
Provider details
- NPI number
- 1093946709
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Asresahegn Getachew, Statewide Medical Director(410) 872-8590
- License
- D0058537 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7943 Brock Bridge Rd
Jessup, MD 20794-9704
Phone: (410) 379-3873
Approximate (ZIP-level) locationGet directions
Mailing address
7816 Foxfarm Ln
Glen Burnie, MD 21061-6321
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2009-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.