| |
1919 N Broadway Baltimore MD 21213-1432 | |
(410) 732-8800 | |
(410) 732-7000 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1919 N Broadway, Baltimore, Maryland |
Authorized Official Name and Position | Shirley Sutton (PRESIDENT AND CEO) |
Authorized Official Contact | 4105584891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 732-8800 | 1919 N Broadway Baltimore MD 21213-1432 Ph: (410) 732-8800 |
NPI Number | 1184904443 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 02/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184904443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 3767515-00 (Maryland) | Primary |
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