Organization
PEOPLES COMMUNITY HEALTH CENTER, INC
Active
Other names
ROSEMONT FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CASSATT MS (CHIEF EXECUTIVE OFFICER)
(410) 467-6040
Entity
Organization
Contact information
Practice address
818 N FRANKLINTOWN RD, BALTIMORE, MD 21216-4223
(410) 467-6040
Mailing address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
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
BLUE CROSS BLUE SHIEL
MD
Enumeration date
03/14/2006
Last updated
12/12/2012
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