Organization
PARK WEST HEALTH SYSTEM INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI FIELDS CPAT, CPC, CCS (CREDENTIALING)
(443) 567-6120
Entity
Organization
Contact information
Practice address
4120 PATTERSON AVE, BALTIMORE, MD 21215-2254
(410) 542-7800
(410) 542-5279
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
(410) 542-5279
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912391100
—
MD
Enumeration date
01/26/2007
Last updated
06/24/2024
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