| Family Health Centers Of Baltimore, Inc. | |
|
3540 S Hanover St Brooklyn MD 21225-1732 | |
| (410) 355-0343 | |
| (410) 355-5764 |
| Full Name | Family Health Centers Of Baltimore, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3540 S Hanover St, Brooklyn, Maryland |
| Authorized Official Name and Position | Paula B Mclellan (CEO) |
| Authorized Official Contact | 4103542001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Of Baltimore, Inc. 631 Cherry Hill Rd Baltimore MD 21225-1228 Ph: (410) 354-2000 | Family Health Centers Of Baltimore, Inc. 3540 S Hanover St Brooklyn MD 21225-1732 Ph: (410) 355-0343 |
| NPI Number | 1336326248 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 03/20/2014 |
| Medicare PECOS PAC ID | 2961310651 |
|---|---|
| Medicare Enrollment ID | O20030507000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336326248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
Dr. Tamader H. Mira, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5505 Ritchie Hwy, E, Brooklyn, MD 21225 Phone: 410-355-0340 Fax: 410-636-3403 |