Organization
PEOPLES COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREEN (CEO)
(443) 873-3554
Entity
Organization
Contact information
Practice address
3028 GREENMOUNT AVE, BALTIMORE, MD 21218-3938
(410) 467-6040
Mailing address
1734 MARYLAND AVE, BALTIMORE, MD 21201-5804
(410) 467-6040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910561100
—
MD
Enumeration date
01/18/2006
Last updated
01/05/2015
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