# PARK WEST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467823773
- **Authorized official:** MRS. CLEO LAVERNE EDMONDS MS (PROJECT DIRECTOR)
- **Authorized official phone:** (443) 884-7642

## Contact information

- **Practice address:** 4151 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6730
- **Practice address phone:** (443) 884-7642
- **Practice address fax:** (443) 423-0002
- **Mailing address:** 4151 PARK HEIGHTS AVENUE, HIDDEN GARDEN PROGRAM, BALTIMORE, MD 21215
- **Mailing address phone:** (443) 884-7642
- **Mailing address fax:** (443) 423-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | MD | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 07/21/2022