Park West Health Systems Incorporated | |
4151 Park Heights Ave Baltimore MD 21215-6730 | |
(443) 874-5502 | |
(443) 836-0405 |
Full Name | Park West Health Systems Incorporated |
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Speciality | Clinic/Center |
Location | 4151 Park Heights Ave, Baltimore, Maryland |
Authorized Official Name and Position | Terri Fields (CREDENTIALING) |
Authorized Official Contact | 4435676120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Park West Health Systems Incorporated 3319 W Belvedere Ave Baltimore MD 21215-5103 Ph: (410) 542-7800 | Park West Health Systems Incorporated 4151 Park Heights Ave Baltimore MD 21215-6730 Ph: (443) 874-5502 |
NPI Number | 1255512638 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 8921090820 |
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Medicare Enrollment ID | O20080310000489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255512638 | NPI | - | NPPES |
912391100 | 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 |