| |
2000 W Baltimore St Suite 3300 Baltimore MD 21223-1558 | |
(410) 837-5533 | |
(410) 837-8020 |
Full Name | |
---|---|
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 |
---|---|
421 Fallsway Baltimore MD 21202-4800 Ph: (410) 837-5533 | 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 |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |