| Health Care For The Homeless West Baltimore | |
|
2000 W Baltimore St Suite 3300 Baltimore MD 21223-1558 | |
| (410) 837-5533 | |
| (410) 837-8020 |
| Full Name | Health Care For The Homeless West Baltimore |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 W Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Kevin Lindamood (PRESIDENT & CEO) |
| Authorized Official Contact | 4108375533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care For The Homeless West Baltimore 421 Fallsway Baltimore MD 21202-4800 Ph: (410) 837-5533 | Health Care For The Homeless West Baltimore 2000 W Baltimore St Suite 3300 Baltimore MD 21223-1558 Ph: (410) 837-5533 |
| NPI Number | 1932570504 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/01/2024 |
| Medicare PECOS PAC ID | 1456452382 |
|---|---|
| Medicare Enrollment ID | O20160208001529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932570504 | NPI | - | NPPES |
| 383841200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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