| |
2225 N Charles St Baltimore MD 21218-5778 | |
(410) 467-6040 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2225 N Charles St, 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 |
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2524 Kirk Ave Baltimore MD 21218-4826 Ph: (410) 467-6040 | 2225 N Charles St Baltimore MD 21218-5778 Ph: (410) 467-6040 |
NPI Number | 1447544374 |
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Provider Enumeration Date | 06/08/2011 |
Last Update Date | 12/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447544374 | NPI | - | NPPES |
910561100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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