| People's Community Health Center At Open Gates- Dental | |
|
1111 Washington Blvd Baltimore MD 21230-1824 | |
| (410) 467-6040 | |
| Not Available |
| Full Name | People's Community Health Center At Open Gates- Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1111 Washington Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Patricia S Cassatt (CEO) |
| Authorized Official Contact | 4104676040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| People's Community Health Center At Open Gates- Dental 2524 Kirk Ave Baltimore MD 21218-4826 Ph: (410) 467-6040 | People's Community Health Center At Open Gates- Dental 1111 Washington Blvd Baltimore MD 21230-1824 Ph: (410) 467-6040 |
| NPI Number | 1841538378 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841538378 | NPI | - | NPPES |
| 913904400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
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