| Peoples Community Health Center Inc | |
|
3028 Greenmount Ave Baltimore MD 21218-3938 | |
| (410) 467-6040 | |
| Not Available |
| Full Name | Peoples Community Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3028 Greenmount Ave, Baltimore, Maryland |
| Authorized Official Name and Position | William Green (CEO) |
| Authorized Official Contact | 4438733554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Community Health Center Inc 1734 Maryland Ave Baltimore MD 21201-5804 Ph: (410) 467-6040 | Peoples Community Health Center Inc 3028 Greenmount Ave Baltimore MD 21218-3938 Ph: (410) 467-6040 |
| NPI Number | 1548240302 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548240302 | NPI | - | NPPES |
| 910561100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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