| Odenton Health Center | |
|
2288 Blue Water Blvd Ste 440 Odenton MD 21113-3312 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | Odenton Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2288 Blue Water Blvd Ste 440, Odenton, 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 |
|---|---|
| Odenton Health Center 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Odenton Health Center 2288 Blue Water Blvd Ste 440 Odenton MD 21113-3312 Ph: (410) 383-8300 |
| NPI Number | 1881439958 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881439958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Odenton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Odenton Rd, Odenton, MD 21113 Phone: 410-467-6040 Fax: 443-743-2866 |