| Forest Park High School School Health Center | |
|
3701 Eldorado Avenue Baltimore MD 21207-7658 | |
| (443) 703-3694 | |
| Not Available |
| Full Name | Forest Park High School School Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3701 Eldorado Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Shirley Sutton (PRESIDENT/CEO) |
| Authorized Official Contact | 4105584891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Park High School School Health Center 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 558-4804 | Forest Park High School School Health Center 3701 Eldorado Avenue Baltimore MD 21207-7658 Ph: (443) 703-3694 |
| NPI Number | 1699292110 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699292110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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