Active NPI
Peoples Community Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
National Provider Identifier
1942243696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PEOPLES COMMUNITY HEALTH CENTER, INC
- Practice address
- 1300 N Fulton Ave
Baltimore, MD 21217-1528 - Phone
- (410) 467-6040
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia S Cassatt, MS
- Title
- Ceo
- Phone
- (410) 467-6040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1300 N Fulton Ave
Baltimore, MD 21217-1528
Mailing address
2524 Kirk Ave
Baltimore, MD 21218-4826
Phone (410) 467-6040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H649 | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD OF MARYLAND |
| 910561100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1528269347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1942243696",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N FULTON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171528",
"telephone_number": "410-467-6040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLES COMMUNITY HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2012-12-12",
"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_credential": "MS"
},
"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": "CAREFIRST BLUE CROSS BLUE SHIELD OF MARYLAND",
"identifier": "H649",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910561100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Peoples Community Health Center , Inc. (People's at Helping Up Mission)
- Peoples Community Health Center Inc
- Peoples Community Health Center, Inc (People's Health at Women's Housing Coalition)
- Peoples Community Health Center, Inc (Yorkwood Medical Center)
- Peoples Community Health Center, Inc (Rosemont Family Health Center)
- Peoples Community Health Center, Inc. (Open Gates Health Center)
- Peoples Community Health Center, Inc. (PCHC Group Outpatient & Inpatient Hospital Services)
- Peoples Community Health Center, Inc. (Peoples Health at Mosiac)
- Peoples Community Health Center, Inc. (People's at HERO)
- Peoples Community Health Center, Inc. (Anne Arundel Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.