People's At Hero | |
1734 Maryland Ave Baltimore MD 21201-5804 | |
(410) 467-6040 | |
(443) 743-2866 |
Full Name | People's At Hero |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1734 Maryland Ave, Baltimore, Maryland |
Authorized Official Name and Position | Stacy Fruhling (CEO) |
Authorized Official Contact | 4104676040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
People's At Hero Po Box 33109 Baltimore MD 21218-0401 Ph: (410) 467-6040 | People's At Hero 1734 Maryland Ave Baltimore MD 21201-5804 Ph: (410) 467-6040 |
NPI Number | 1568430668 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 06/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568430668 | NPI | - | NPPES |
H649 | Other | MD | BLUE CROSS BLUE SHIELD |
910561100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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