| Peoples Community Health Center, Inc | |
|
1300 N Fulton Ave Baltimore MD 21217-1528 | |
| (410) 467-6040 | |
| Not Available |
| Full Name | Peoples Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1300 N Fulton Ave, 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 |
|---|---|
| Peoples Community Health Center, Inc 2524 Kirk Ave Baltimore MD 21218-4826 Ph: (410) 467-6040 | Peoples Community Health Center, Inc 1300 N Fulton Ave Baltimore MD 21217-1528 Ph: (410) 467-6040 |
| NPI Number | 1942243696 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942243696 | NPI | - | NPPES |
| H649 | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD OF MARYLAND |
| 910561100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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