Thc2 Mobile Health Unit 2 | |
3540 S Hanover St Baltimore MD 21225-1772 | |
(410) 383-8300 | |
(410) 383-3160 |
Full Name | Thc2 Mobile Health Unit 2 |
---|---|
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 |
---|---|
Thc2 Mobile Health Unit 2 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Thc2 Mobile Health Unit 2 3540 S Hanover St Baltimore MD 21225-1772 Ph: (410) 383-8300 |
NPI Number | 1174365696 |
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Provider Enumeration Date | 06/07/2024 |
Last Update Date | 10/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174365696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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