Organization Active NPI

Mayor and City Council of Baltimore

  • Student Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1528534062
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MAYOR AND CITY COUNCIL OF BALTIMORE
Practice address
1301 McCulloh St
Baltimore, MD 21217-3044
Phone
(410) 396-7734
NPI assigned
Oct 23, 2018
Organization subpart
Yes
Parent organization
MAYOR AND CITY COUNCIL OF BALTIMOREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Tyrone Alonzo Chapman
Title
Billing & Revenue MGR.
Phone
(410) 396-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
State or Local Public Health Clinic/Center 261QP0905X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1301 McCulloh St
Baltimore, MD 21217-3044

Mailing address

1001 E Fayette St
Baltimore, MD 21202-4715

Other names 2

  • Baltimore City Health Department Other name
  • Booker T Washington Telemedicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Balto Cty Bureau Diseas29 organizations share this tax ID, including this one
Part of
Balto Cty Bureau Diseas

Other organizations with this tax ID 28

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

View all 28

Locations

1301 McCulloh St
Baltimore, MD 21217
Phone (410) 396-7734

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1528534062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCCULLOH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173044",
            "telephone_number": "410-396-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYOR AND CITY COUNCIL OF BALTIMORE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAYOR AND CITY COUNCIL OF BALTIMORE",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "BILLING & REVENUE MGR.",
        "authorized_official_telephone_number": "410-396-8000"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore City Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Booker T Washington Telemedicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Booker T Washington Telemedicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 3, 2023; 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.