NPIMap

Organization Active NPI

Peoples Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1154399228
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PEOPLES COMMUNITY HEALTH CENTER, INC.
Practice address
1111 Washington Blvd
Baltimore, MD 21230-1824
Phone
(410) 467-6040
Fax
(443) 743-2866
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Stacy Fruhling
Title
Ceo
Phone
(410) 467-6040

Specialties & licenses 1

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

Addresses

Primary practice location

1111 Washington Blvd
Baltimore, MD 21230-1824

Mailing address

PO Box 33109
Baltimore, MD 21218-0401
Phone (410) 467-6040

Other identifiers 2

IdentifierTypeStateIssuer
H649OtherMDBLUE CROSS BLUE SHIELD
910561100MedicaidMD

Other names 1

  • OPEN GATES HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1154399228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212180401",
            "telephone_number": "410-467-6040",
            "fax_number": "443-743-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WASHINGTON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212301824",
            "telephone_number": "410-467-6040",
            "fax_number": "443-743-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "FRUHLING",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-467-6040"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "H649",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910561100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN GATES HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2014; 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.