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CHASE BREXTON HEALTH SERVICES INC. NPI 1073637492


NPI Information

NPI: 1073637492
Provider Name: CHASE BREXTON HEALTH SERVICES, INC.

Doing Business As: CHASE BREXTON HEALTH CARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1111 NORTH CHARLES STREET
BALTIMORE, MD
ZIP 21201
Phone: (410) 837-2050
Get Directions

CHASE BREXTON HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Baltimore, MD. CHASE BREXTON HEALTH SERVICES, INC. NPI is 1073637492. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chase Brexton Health Care.

The provider's business location address is:

1111 NORTH CHARLES STREET
BALTIMORE, MD
ZIP 21201
Phone: (410) 837-2050
Fax: (410) 752-1374

The provider's authorized official is Kyle Easton .
The authorized official title is Revenue Cycle Director and has the following contact phone number (410) 837-2050.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeMARYLANDNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132190100MEDICAIDMARYLAND
2097004200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.