| Empowerment Healthcare Systems,llc | |
|
9106 Philadelphia Rd Ste 108b Baltimore MD 21237-4333 | |
| (410) 321-1961 | |
| (410) 321-1962 |
| Full Name | Empowerment Healthcare Systems,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9106 Philadelphia Rd Ste 108b, Baltimore, Maryland |
| Authorized Official Name and Position | Damian Ayichi (PRINCIPAL ASSOCIATE/CEO) |
| Authorized Official Contact | 4103211961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Healthcare Systems,llc Po Box 18844 Baltimore MD 21206-0844 Ph: (410) 321-1961 | Empowerment Healthcare Systems,llc 9106 Philadelphia Rd Ste 108b Baltimore MD 21237-4333 Ph: (410) 321-1961 |
| NPI Number | 1003314675 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 4486906252 |
|---|---|
| Medicare Enrollment ID | O20181004002612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003314675 | NPI | - | NPPES |
| 528016800 | Medicaid | MD |
| Provider Name | Katie M Barrick Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932415627 PECOS PAC ID: 5597944983 Enrollment ID: I20110201000704 |
| Provider Name | Oluchi Josephine Ayichi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508141383 PECOS PAC ID: 3779734033 Enrollment ID: I20121114000081 |
| Provider Name | Damian Ayichi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790111532 PECOS PAC ID: 0648409417 Enrollment ID: I20140128001005 |
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