Organization
PEOPLPES COMMUNITY HEALTH CENTER, INC
Active
Organization
PEOPLPES COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA S CASSATT MS (CEO)
(410) 467-6040
Entity
Organization
Contact information
Practice address
3011 GREENMOUNT AVE, BALTIMORE, MD 21218-3939
(410) 467-6040
Mailing address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910561100
—
MD
01
—
H649
CAREFIRST BLUECROSS BLUE SHIELD OF MARYLAND
MD
Enumeration date
02/21/2008
Last updated
12/12/2012
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