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Organization

PEOPLES COMMUNITY HEALTH CENTER, INC.

Active
Other names
ODENTON HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
STACY FRUHLING (CEO)
(410) 467-6040
Entity
Organization

Contact information

Practice address
1370 ODENTON RD, ODENTON, MD 21113-1503
(410) 467-6040
(443) 743-2866
Mailing address
PO BOX 33109, BALTIMORE, MD 21218-0401
(410) 467-6040
(443) 743-2866

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 BLUE CROSS BLUE SHIELD
MD
Enumeration date
08/11/2010
Last updated
06/02/2014
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