PARK WEST HEALTH SYSTEMS INCORPORATED (NPI# 1255512638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255512638 |
| Entity Type | Organization |
| Organization Name | PARK WEST HEALTH SYSTEMS INCORPORATED |
| Practice Address |
4151 Park Heights Ave Baltimore MD 21215-6730 |
| Mailing Address |
3319 W Belvedere Ave Baltimore MD 21215-5103 |
| Practice Telephone | 4438745502 |
| Practice Fax Number | 4438360405 |
| Mailing Telephone | 4105427800 |
| Mailing Fax Number | 4438360405 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MRS. TERRI MITCHELL (CREDENTIALING) |
| Authorized Official Telephone | 4105427800 |
| 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 | 912391100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896719 | Park West Health Systems Incorporated | Clinic/Center | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2006-03-27 |
| Street Address |
4151 PARK HEIGHTS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467823773 | Park West Health System | Clinic/Center | 4151 Park Heights Ave, Baltimore, MD 21215-6730 | 2015-10-13 |
| 1861750275 | Park Heights Injury Center | Chiropractor | 4151 Park Heights Ave, Ste 207, Baltimore, MD 21215-6730 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| 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.