PEOPLES COMMUNITY HEALTH CENTER INC (NPI# 1548240302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548240302 |
| Entity Type | Organization |
| Organization Name | PEOPLES COMMUNITY HEALTH CENTER INC |
| Practice Address |
3028 Greenmount Ave Baltimore MD 21218-3938 |
| Mailing Address |
1734 Maryland Ave Baltimore MD 21201-5804 |
| Practice Telephone | 4104676040 |
| Mailing Telephone | 4104676040 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | WILLIAM GREEN (CEO) |
| Authorized Official Telephone | 4438733554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 910561100 | 05 |
| Street Address |
3028 GREENMOUNT AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003293218 | Johnny Cares, Inc | Counselor | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2015-04-27 |
| 1962899955 | Johnny Cares Inc | Counselor | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2015-04-17 |
| 1548652753 | Johnnycares, Inc. | Counselor | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2015-02-25 |
| 1417276817 | Loretta Yvonne Wall | Social Worker | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2010-05-25 |
| 1386804144 | Jashoman Banerjee | Obstetrics & Gynecology | 3028 Greenmount Ave, Baltimore, MD 21218-3938 | 2008-06-13 |
| 1932177730 | Richelle Sharon Gaskin | Obstetrics & Gynecology | 3028 Greenmount Ave, Baltimore, MD 21218 | 2006-03-09 |
| 1144297334 | Lelin Chao | Family Medicine | 3028 Greenmount Ave, Baltimore, MD 21218 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on PEOPLES COMMUNITY HEALTH CENTER INC.
| 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.