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3540 S Hanover St Brooklyn MD 21225-1772 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3540 S Hanover St, Brooklyn, 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 |
|---|---|
1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | 3540 S Hanover St Brooklyn MD 21225-1772 Ph: (410) 383-8300 |
| NPI Number | 1225857378 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225857378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Centers Of Baltimore, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3540 S Hanover St, Brooklyn, MD 21225 Phone: 410-355-0343 Fax: 410-355-5764 | |
Dr. Tamader H. Mira, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5505 Ritchie Hwy, E, Brooklyn, MD 21225 Phone: 410-355-0340 Fax: 410-636-3403 |