Organization Active NPI

Park West Health Systems, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1518013283
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PARK WEST HEALTH SYSTEMS, INCORPORATED
Practice address
5101 Lanier Ave
Baltimore, MD 21215-5321
Phone
(410) 542-7800
Fax
(410) 542-5279
NPI assigned
Jan 26, 2007
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ms. Terri Fields, CPAT, CPC, CTLC, CS
Title
Credentialing
Phone
(443) 567-6120

Specialties & licenses 1

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

Addresses

Primary practice location

5101 Lanier Ave
Baltimore, MD 21215-5321

Mailing address

3319 W Belvedere Ave
Baltimore, MD 21215-5103
Phone (410) 542-7800

Other identifiers 1

IdentifierTypeStateIssuer
912391100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1518013283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155103",
            "telephone_number": "410-542-7800",
            "fax_number": "410-542-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 LANIER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155321",
            "telephone_number": "410-542-7800",
            "fax_number": "410-542-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST HEALTH SYSTEMS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "443-567-6120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPAT, CPC, CTLC, CS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912391100",
            "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 Aug 20, 2025; 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.