| |
1111 Washington Blvd Baltimore MD 21230-1824 | |
(410) 383-8300 | |
(410) 383-3160 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 1111 Washington Blvd, 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 |
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1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | 1111 Washington Blvd Baltimore MD 21230-1824 Ph: (410) 383-8300 |
NPI Number | 1174365696 |
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Provider Enumeration Date | 06/07/2024 |
Last Update Date | 11/19/2024 |
Identifier | Type | State | Issuer |
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1174365696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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