NPIMap

Organization Active NPI

Peoples Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1568430668
Registry record updated Jun 2, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PEOPLES COMMUNITY HEALTH CENTER, INC.
Doing business as
People's at HERO
Practice address
1734 Maryland Ave
Baltimore, MD 21201-5804
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

1734 Maryland Ave
Baltimore, MD 21201-5804

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

  • People's at HERO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 211883

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEOPLE'S AT HERO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 1, 2011
Last certification
Nov 1, 2011
Ownership / control type
For profit – corporation
Facility address
1734 Maryland Avenue
Baltimore, MD 21201

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": "1568430668",
    "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": "1734 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015804",
            "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": "People's at HERO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.