Organization
TOTAL HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN D BELLAMY (CEO)
(410) 728-4090
Entity
Organization
Contact information
Practice address
922 W NORTH AVE, BALTIMORE, MD 21217-3940
(410) 383-8300
(410) 383-3160
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
905611400
—
MD
Enumeration date
09/12/2005
Last updated
02/13/2018
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