Organization
COMMUNITY FIRST HEALTH CARE SERVICES COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE HARVELL (PRESIDENT)
(410) 361-1509
Entity
Organization
Contact information
Practice address
610 N LINWOOD AVE, BALTIMORE, MD 21205-2707
(410) 617-0127
Mailing address
610 N LINWOOD AVE, BALTIMORE, MD 21205-2707
(410) 617-0127
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
MH-2077
MD
Other
Enumeration date
08/25/2016
Last updated
01/22/2025
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