PARK WEST HEALTH SYSTEM (NPI# 1467823773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467823773 |
| Entity Type | Organization |
| Organization Name | PARK WEST HEALTH SYSTEM |
| Practice Address |
4151 Park Heights Ave Baltimore MD 21215-6730 |
| Mailing Address |
4151 Park Heights Avenue Hidden Garden Program Baltimore MD 21215 |
| Practice Telephone | 4438847642 |
| Practice Fax Number | 4434230002 |
| Mailing Telephone | 4438847642 |
| Mailing Fax Number | 4434230002 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MRS. CLEO LAVERNE EDMONDS (PROJECT DIRECTOR) |
| Authorized Official Telephone | 4438847642 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
========= | MD | Ambulatory Health Care Facilities |
| Street Address |
4151 PARK HEIGHTS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255512638 | Park West Health Systems Incorporated | Clinic/Center | 4151 Park Heights Ave, Baltimore, MD 21215-6730 | 2007-11-14 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1184134538 | We Did Dat Recovery Center | Clinic/Center | 609 George St, Baltimore, MD 21201-1353 | 2017-10-11 |
| 1730629486 | Plesant Housing Behavioral Services | Clinic/Center | 114 E 25th St, Baltimore, MD 21218-5214 | 2017-02-28 |
| 1801264841 | Homecentris Community Care, LLC | Clinic/Center | 3617 Fords Ln, Baltimore, MD 21215-2900 | 2015-09-08 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1831508829 | Kelli K Mccallum | Clinic/Center | 3721 Chesmont Ave, Baltimore, MD 21206-5041 | 2014-08-05 |
| 1831446574 | Collaborate Care Pharmacy & Wellness Center LLC | Clinic/Center | 3305 Garrison Blvd, Baltimore, MD 21216-1323 | 2012-08-13 |
| 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.