NPIMap

Organization Active NPI

Peoplpes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1245409424
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PEOPLPES COMMUNITY HEALTH CENTER, INC
Practice address
3011 Greenmount Ave
Baltimore, MD 21218-3939
Phone
(410) 467-6040
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Patricia S Cassatt, MS
Title
Ceo
Phone
(410) 467-6040

Specialties & licenses 1

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

Addresses

Primary practice location

3011 Greenmount Ave
Baltimore, MD 21218-3939

Mailing address

2524 Kirk Ave
Baltimore, MD 21218-4826
Phone (410) 467-6040

Other identifiers 2

IdentifierTypeStateIssuer
H649OtherMDCAREFIRST BLUECROSS BLUE SHIELD OF MARYLAND
910561100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Peoples Community Health Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1245409424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 KIRK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184826",
            "telephone_number": "410-467-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183939",
            "telephone_number": "410-467-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLPES COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "CASSATT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-467-6040",
        "authorized_official_credential": "MS"
    },
    "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": "CAREFIRST BLUECROSS BLUE SHIELD OF MARYLAND",
            "identifier": "H649",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910561100",
            "state": "MD"
        }
    ],
    "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 Dec 12, 2012; 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.