PEOPLES COMMUNITY HEALTH CENTER, INC (NPI# 1912976796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912976796 |
| Entity Type | Organization |
| Organization Name | PEOPLES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | PIONEER CITY HEALTH CENTER |
| Practice Address |
8341 Pioneer Drive Severn MD 21144 |
| Mailing Address |
2204 Maryland Ave Baltimore MD 21218-5625 |
| Practice Telephone | 4104676040 |
| Mailing Telephone | 4104676040 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | MRS. PATRICIA CASSATT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4102358801 |
| Authorized Official Credential | MS |
| 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 |
|---|---|
| PIONEER CITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083905749 | Peoples Community Health Center, Inc | Clinic/Center | 14 E Franklin St, Baltimore, MD 21202-2211 | 2011-04-28 |
| 1942243696 | Peoples Community Health Center, Inc | Clinic/Center | 1300 N Fulton Ave, Baltimore, MD 21217-1528 | 2006-06-13 |
| 1346218484 | Peoples Community Health Center, Inc | Clinic/Center | 5225 York Rd, Baltimore, MD 21212-4219 | 2006-03-14 |
| 1891763033 | Peoples Community Health Center, Inc | Clinic/Center | 818 N Franklintown Rd, Baltimore, MD 21216-4223 | 2006-03-14 |
| Street Address |
8341 PIONEER DRIVE |
| City | SEVERN |
| State | MD |
| Zip Code | 21144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780721753 | Marisa S Garcia Faust | Physician Assistant | 8341 Pioneer Drive, Severn, MD 21144 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| 1952952251 | Cristelyne Galutira | Behavior Technician | 8303 Canyon Oak Dr, Severn, MD 21144 | 2019-09-27 |
| 1710542717 | Seleste Upshaw | Nurse Practitioner | 524 Hidden Valley Court, Severn, MD 21144 | 2019-05-06 |
| 1528538105 | Life Support Clinical Counseling Service LLC | Counselor | 82 Janet Dale Ln, Severn, MD 21144 | 2018-11-27 |
| 1972088045 | Abundant Life and Wellness Counseling Services, LLC | Counselor | 1812 Encore Ter, Severn, MD 21144 | 2018-09-25 |
| 1528544731 | Allegiance Chiropractic LLC | Chiropractor | 2622h Annapolis Rd, Severn, MD 21144 | 2018-07-11 |
| 1922554526 | Amana Khondaker | Pharmacist | 2600 Annapolis Rd., Severn, MD 21144 | 2016-09-01 |
| 1457707960 | Caroline Akomolede | Licensed Practical Nurse | 8420 Gale Lane, Aa, Severn, MD 21144 | 2016-05-13 |
| 1306184726 | Casey Mary Mccall | Counselor | 1157 Reece Road, Severn, MD 21144 | 2013-01-18 |
| Find all providers in zip 21144 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.