| Core Family Service, Llc | |
|
1800 N Charles St Ste 406 Baltimore MD 21201-5909 | |
| (443) 801-2233 | |
| (443) 835-3875 |
| Full Name | Core Family Service, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 N Charles St Ste 406, Baltimore, Maryland |
| Authorized Official Name and Position | Kimberly White (MEDICAL DIRECTOR CEO) |
| Authorized Official Contact | 4438012233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Family Service, Llc 1800 N Charles St Ste 406 Baltimore MD 21201-5909 Ph: (443) 801-2233 | Core Family Service, Llc 1800 N Charles St Ste 406 Baltimore MD 21201-5909 Ph: (443) 801-2233 |
| NPI Number | 1821759671 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 9335515527 |
|---|---|
| Medicare Enrollment ID | O20221012003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821759671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kimberly Renee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730769647 PECOS PAC ID: 8921402397 Enrollment ID: I20210806001107 |
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