Organization
PEOPLE'S COMMUNITY HEALTH CENTER, INC
Active
Other names
People's Community Health Center at Open Gates- Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA S CASSATT MS (CEO)
(410) 467-6040
Entity
Organization
Contact information
Practice address
1111 WASHINGTON BLVD, BALTIMORE, MD 21230-1824
(410) 467-6040
Mailing address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
(410) 235-0265
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913904400
—
MD
Enumeration date
01/17/2013
Last updated
01/17/2013
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