PARK WEST HEALTH SYSTEM INC. NPI 1073914206

NPI Information

NPI: 1073914206
Provider Name: PARK WEST HEALTH SYSTEM, INC.

Doing Business As: HOWARD PARK COMMUNITY CARE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD
ZIP 21207
Phone: (443) 884-7577
Get Directions

PARK WEST HEALTH SYSTEM, INC. is a federally qualified health center (fqhc) clinic center in Baltimore, MD. PARK WEST HEALTH SYSTEM, INC. NPI is 1073914206. The provider is registered as an organization entity type.
The provider Is Doing Business As Howard Park Community Care Clinic.

The provider's business location address is:

4601 LIBERTY HEIGHTS AVE
BALTIMORE, MD
ZIP 21207-553
Phone: (443) 884-7577
Fax: (667) 239-3121

The provider's authorized official is Elizabeth Lee .
The authorized official title is Cfo and has the following contact phone number (410) 542-7800.

The enumeration date for this NPI number is 9/8/2014 and was last updated on 11/3/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	912391100	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »