| Health Care For The Homeless West Baltimore | |
|
2000 W Baltimore St Suite 247 Baltimore MD 21223-1558 | |
| (443) 703-1400 | |
| (443) 863-6661 |
| Full Name | Health Care For The Homeless West Baltimore |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 W Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Kevin Lindamood (PRESIDENT & CEO) |
| Authorized Official Contact | 4108375533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care For The Homeless West Baltimore 421 Fallsway Baltimore MD 21202-4800 Ph: (410) 837-5533 | Health Care For The Homeless West Baltimore 2000 W Baltimore St Suite 247 Baltimore MD 21223-1558 Ph: (443) 703-1400 |
| NPI Number | 1033573050 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033573050 | NPI | - | NPPES |
| 383841200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Maryland) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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