NPIMap

Organization Active NPI

People's Community Health Center -Dental

  • Community Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1609942515
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PEOPLE'S COMMUNITY HEALTH CENTER -DENTAL
Practice address
3011 Greenmount Ave
Baltimore, MD 21218-3939
Phone
(410) 467-6040
Fax
(410) 735-5897
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X MD 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 1

IdentifierTypeStateIssuer
913904400MedicaidMD

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1609942515",
    "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",
            "fax_number": "410-735-5897"
        },
        {
            "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",
            "fax_number": "410-735-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S COMMUNITY HEALTH CENTER -DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-05-16",
        "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_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913904400",
            "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 May 16, 2008; 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.