Organization
PARK WEST HEALTH SYSTEMS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI FIELDS CPAT, CPC, CTLC, CS (CREDENTIALING)
(443) 567-6120
Entity
Organization
Contact information
Practice address
4151 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6730
(443) 874-5502
(443) 836-0405
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
(443) 836-0405
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912391100
—
MD
Enumeration date
11/14/2007
Last updated
08/20/2025
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