| South Baltimore Health Center | |
|
3540 S Hanover St Baltimore MD 21225-1772 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | South Baltimore Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3540 S Hanover St, Baltimore, Maryland |
| Authorized Official Name and Position | Kevin Daniel Bellamy (CEO) |
| Authorized Official Contact | 4107355265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Baltimore Health Center 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | South Baltimore Health Center 3540 S Hanover St Baltimore MD 21225-1772 Ph: (410) 383-8300 |
| NPI Number | 1225857378 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225857378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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