NPIMap

Organization Active NPI

Family Health Centers of Baltimore, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1033395637
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTERS OF BALTIMORE, INC.
Practice address
315 N Calvert St
Baltimore, MD 21202-3611
Phone
(410) 500-5565
Fax
(410) 500-5653
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Mrs. Paula B McLellan
Title
Ceo
Phone
(410) 354-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MD Primary

Addresses

Primary practice location

315 N Calvert St
Baltimore, MD 21202-3611

Mailing address

631 Cherry Hill Rd
Baltimore, MD 21225-1228
Phone (410) 354-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 211831

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERCY FAMILY CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 24, 2003
Last certification
Apr 24, 2003
Ownership / control type
For profit – corporation
Facility address
315 N Calvert Street
Baltimore, MD 21202
Related CCNs
211807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1033395637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "410-354-2000",
            "fax_number": "410-354-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023611",
            "telephone_number": "410-500-5565",
            "fax_number": "410-500-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF BALTIMORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-354-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.