PEOPLES COMMUNITY HEALTH CENTER, INC. (NPI# 1154399228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399228 |
| Entity Type | Organization |
| Organization Name | PEOPLES COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | OPEN GATES HEALTH CENTER |
| Practice Address |
1111 Washington Blvd Baltimore MD 21230-1824 |
| Mailing Address |
Po Box 33109 Baltimore MD 21218-0401 |
| Practice Telephone | 4104676040 |
| Practice Fax Number | 4437432866 |
| Mailing Telephone | 4104676040 |
| Mailing Fax Number | 4437432866 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | STACY FRUHLING (CEO) |
| Authorized Official Telephone | 4104676040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS BLUE SHIELD | H649 | 01 |
| MD | 910561100 | 05 |
| Other Name | Type Code |
|---|---|
| OPEN GATES HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437589868 | Peoples Community Health Center, Inc. | General Practice | 1734 Maryland Avenue, Baltimore, MD 21201 | 2013-11-21 |
| 1639148497 | Peoples Community Health Center, Inc. | Clinic/Center | 5517 Ritchie Highway, Baltimore, MD 21225 | 2006-03-15 |
| 1568430668 | Peoples Community Health Center, Inc. | Clinic/Center | 1734 Maryland Ave, Baltimore, MD 21201-5804 | 2006-03-14 |
| 1447544374 | Peoples Community Health Center, Inc. | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2011-06-08 |
| 1447565783 | Peoples Community Health Center, Inc. | Clinic/Center | 1370 Odenton Rd, Odenton, MD 21113-1503 | 2010-08-11 |
| Street Address |
1111 WASHINGTON BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137841 | Matthew David Sommer | Nurse Practitioner | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2006-01-05 |
| 1619420163 | Cordell Drummond | Social Worker | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2016-08-02 |
| 1760837074 | Neisha-ann Thompson | Counselor | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2016-04-25 |
| 1548670870 | Ivy Pridgen | Counselor | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2014-05-08 |
| 1841538378 | People's Community Health Center, Inc | Clinic/Center | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2013-01-17 |
| 1144578352 | Total Health Care Inc | Pharmacy | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2012-08-20 |
| 1336438449 | Sophia Purekal | Family Medicine | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2011-03-30 |
| 1720382963 | Jessica Paine- Rye | Counselor | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2011-01-03 |
| 1659572956 | Samuel Leviticus Williams IIi | Psychiatry & Neurology | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2007-05-31 |
| 1801930839 | Jocelyn Marie Hines | Family Medicine | 1111 Washington Blvd, Baltimore, MD 21230-1824 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
| 1083087878 | Mergenthaler Vocational-technical High School | Clinic/Center | 3500 Hillen Rd, Baltimore, MD 21218-2227 | 2015-11-03 |
| 1952778573 | Vanguard Collegiate Middle School | Clinic/Center | 5000 Truesdale Rd, Baltimore, MD 21206-6145 | 2015-08-31 |
| 1881087336 | Total Health Care Inc | Clinic/Center | 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 | 2015-03-09 |
| 1346664562 | Patterson High School | Clinic/Center | 100 Kane Street, Baltimore, MD 21224 | 2014-02-07 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| 1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
| 1942501150 | Baltimore Medical System, Inc | Clinic/Center | 1101 N Wolfe St, Baltimore, MD 21213-3310 | 2010-11-04 |
| 1346540606 | Total Health Care, Inc. | Clinic/Center | 827 Linden Boulevard, Baltimore, MD 21202 | 2010-11-02 |
| 1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.