Organization
FAMILY HEALTH CENTERS OF BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA MCLELLAN (CEO)
(410) 354-2000
Entity
Organization
Contact information
Practice address
631 CHERRY HILL RD, BALTIMORE, MD 21225-1228
(410) 354-2000
(410) 355-6425
Mailing address
631 CHERRY HILL RD, BALTIMORE, MD 21225-1228
(410) 354-2000
(410) 355-6425
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033395637
MEDICARE NPI
—
01
—
1205013539
MEDICARE NPI
—
01
—
1336326248
MEDICARE NPI
—
01
—
1417134321
MEDICARE NPI
—
Enumeration date
04/10/2014
Last updated
04/10/2014
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