| Total Health Care Inc | |
|
1515 W North Ave Baltimore MD 21217-1735 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | Total Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 W North Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Kevin D Bellamy (CEO) |
| Authorized Official Contact | 4107284090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health Care Inc 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Total Health Care Inc 1515 W North Ave Baltimore MD 21217-1735 Ph: (410) 383-8300 |
| NPI Number | 1538460878 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0446258487 |
|---|---|
| Medicare Enrollment ID | O20080225000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538460878 | NPI | - | NPPES |
| 905611400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
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