Organization Active NPI

Harwood Health

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1013388651
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HARWOOD HEALTH
Practice address
428 E 25TH St
Baltimore, MD 21218-5304
Phone
(410) 617-0142
Fax
(443) 873-6975
NPI assigned
Oct 8, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CCG MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara A Wahl, RN, MA
Title
Business Operations Director
Phone
(667) 239-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

428 E 25TH St
Baltimore, MD 21218-5304

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142

National Provider Directory

National Provider Directory
Tax ID family
Harwood Behavioral Health Partners LLC12 organizations share this tax ID, including this one
Part of
Concerted Care Group Management LLC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1013388651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARWOOD HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG MANAGEMENT LLC",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "667-239-3205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.