| Division Health Center | |
|
1501 Division St Baltimore MD 21217-3121 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | Division Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Division St, 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 |
|---|---|
| Division Health Center 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Division Health Center 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 |
| NPI Number | 1972597425 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 0446258487 |
|---|---|
| Medicare Enrollment ID | O20070213000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972597425 | NPI | - | NPPES |
| 905611400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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