| Redeem Healthcare And Medical System Inc | |
|
917 N Caroline St Baltimore MD 21205-1000 | |
| (410) 522-1030 | |
| Not Available |
| Full Name | Redeem Healthcare And Medical System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 917 N Caroline St, Baltimore, Maryland |
| Authorized Official Name and Position | Ose Kingsley Okojie (OWNER) |
| Authorized Official Contact | 4436292435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeem Healthcare And Medical System Inc 917 N Caroline St Baltimore MD 21205-1000 Ph: (410) 522-1030 | Redeem Healthcare And Medical System Inc 917 N Caroline St Baltimore MD 21205-1000 Ph: (410) 522-1030 |
| NPI Number | 1699267765 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 1355606310 |
|---|---|
| Medicare Enrollment ID | O20180523001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699267765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Angela Awuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351255 PECOS PAC ID: 4789902867 Enrollment ID: I20150422000238 |
| Provider Name | Rosetta V Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811285471 PECOS PAC ID: 4981059169 Enrollment ID: I20231007000115 |
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