Park West Health Systems Incorporated in Baltimore - Federally Qualified Health Center (fqhc)

Park West Health Systems Incorporated - NPI 1255512638

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 1255512638. The last update date is 2011-05-25.

Park West Health Systems Incorporated's current location address is 4151 Park Heights Ave, Baltimore, Maryland. You can contact this provider via phone number 4438745502 and fax number 4438360405. The mailing address for Park West Health Systems Incorporated is 4151 Park Heights Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Park West Health Systems Incorporated
Address 4151 Park Heights Ave, Baltimore, Maryland
Phone Number 4438745502
Fax Number 4438360405
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Mitchell Terri
Telephone Number 4105427800

NPI Number Detail

NPI Number 1255512638
Provider Enumeration Date 2007-11-14
Last Updated Date 2011-05-25

Provider Mailing Address Detail

Address 4151 Park Heights Ave
City Baltimore
State Maryland (MD)
Post Code 212156730
Phone Number 4438745502
Fax Number 4438360405

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 --

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FAQs about Park West Health Systems Incorporated

What is the unique identifier code issued to Park West Health Systems Incorporated by the Centers for Medicare & Medicaid Services (CMS)?

The Park West Health Systems Incorporated has been assigned the NPI (National Provider Identifier) 1255512638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Park West Health Systems Incorporated is located?

The Park West Health Systems Incorporated is situated at the following address: 4151 Park Heights Ave, Baltimore, MD, 212156730.

What is Park West Health Systems Incorporated's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Park West Health Systems Incorporated is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.

On what date did Park West Health Systems Incorporated receive its 1255512638 assignment from the Centers for Medicare & Medicaid Services?

The Park West Health Systems Incorporated was assigned its 1255512638 on 2007-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Park West Health Systems Incorporated most recently updated or revised?

The details related to Park West Health Systems Incorporated, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-25.

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