Park West Health Systems Incorporated in Baltimore - Federally Qualified Health Center (fqhc)
Park West Health Systems Incorporated - NPI 1205896719
Park West Health Systems Incorporated is a Federally Qualified Health Center (fqhc) in Baltimore, Maryland. Park West Health Systems Incorporated practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Park West Health Systems Incorporated is 1205896719. The last update date is 2011-05-20.
Park West Health Systems Incorporated's current location address is 3319 W Belvedere Ave, Baltimore, Maryland. You can contact this provider via phone number 4105427800. The mailing address for Park West Health Systems Incorporated is 3319 W Belvedere Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park West Health Systems Incorporated |
|---|---|
| Address | 3319 W Belvedere Ave, Baltimore, Maryland |
| Phone Number | 4105427800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mitchell Terri |
| Telephone Number | 4105427800 |
NPI Number Detail
| NPI Number | 1205896719 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 3319 W Belvedere Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212155103 |
| Phone Number | 4105427800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 912391100 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Park West Health Systems Incorporated by the Centers for Medicare & Medicaid Services?
The Park West Health Systems Incorporated has been issued the NPI (National Provider Identifier) 1205896719 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Park West Health Systems Incorporated is geographically located?
The Park West Health Systems Incorporated is physically situated at the following location: 3319 W Belvedere Ave, Baltimore, MD, 212155103.
What is the Park West Health Systems Incorporated's area of specialization and corresponding taxonomy classification?
The Park West Health Systems Incorporated's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Park West Health Systems Incorporated receive the assignment of its 1205896719 from the Centers for Medicare & Medicaid Services?
The Park West Health Systems Incorporated was issued its 1205896719 by the Centers for Medicare & Medicaid Services on 2006-03-27.
As of what date was the information pertaining to Park West Health Systems Incorporated, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Park West Health Systems Incorporated, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-20.