Provider Type Icon

CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES NPI 1235520420


NPI Information

NPI: 1235520420
Provider Name: CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 21D2090256

Address:
428 E 25TH ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 617-0142
Get Directions

CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES is a community health clinic center in Baltimore, MD. CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES NPI is 1235520420. The provider is registered as an organization entity type.

The provider's business location address is:

428 E 25TH ST
BALTIMORE, MD
ZIP 21218-304
Phone: (410) 617-0142
Fax: (443) 873-6975

The provider's authorized official is Keonna Armstrong .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (240) 813-9867.

The CLIA number assigned to this NPI record is 21D2090256 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/13/2024.


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
1261QC1500XClinic/CenterCommunity Health251B00000XMARYLANDYes

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.