NPIMap

Organization Active NPI

Family Health Centers of Baltimore

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1346286713
Registry record updated Sep 19, 2019
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
Practice address
631 Cherry Hill Rd
Baltimore, MD 21225-1228
Phone
(410) 354-2000
Fax
(410) 354-3674
NPI assigned
Jun 22, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Brian A Hawkins
Title
Ceo
Phone
(410) 354-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

631 Cherry Hill Rd
Baltimore, MD 21225-1228

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000215 MD Part B Supplier - Clinic/Group Practice 2961310651 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Brooklyn, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1200 S Hanover St
Baltimore, MD 21230
Phone (410) 354-2931

301 Saint Paul St
#501
Baltimore, MD 21202
Phone (410) 347-5700

315 N Calvert St
Fl 1
Baltimore, MD 21202
Phone (410) 332-9351

3700 4th St
Brooklyn, MD 21225
Phone (410) 355-0343

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1346286713",
    "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": "631 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "410-354-2000",
            "fax_number": "410-354-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-354-2000"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "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 Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.