| Westside Health Center | |
|
2449 Frederick Ave Baltimore MD 21223-2856 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | Westside Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2449 Frederick 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 |
|---|---|
| Westside Health Center 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Westside Health Center 2449 Frederick Ave Baltimore MD 21223-2856 Ph: (410) 383-8300 |
| NPI Number | 1588964399 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 0446258487 |
|---|---|
| Medicare Enrollment ID | O20080602000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588964399 | NPI | - | NPPES |
| 905611400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maryland) | Primary |
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