COPPIN STATE UNIVERSITY NPI 1427244706

NPI Information

  • NPI: 1427244706
  • Provider Name: COPPIN STATE UNIVERSITY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: CSU COMMUNITY HEALTH CENTER
  • CLIA Number: 21D1004200
  • Address: 2500 W NORTH AVE
    SUITE 131
    BALTIMORE, MD
    ZIP 21216
  • Phone: (410) 951-4188

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NPI Details

COPPIN STATE UNIVERSITY is a primary care clinic center in Baltimore, MD. COPPIN STATE UNIVERSITY NPI is 1427244706. The provider is registered as an organization entity type.
The provider Is Doing Business As Csu Community Health Center.

The provider's business location address is:

2500 W NORTH AVE
SUITE 131
BALTIMORE, MD
ZIP 21216-633
Phone: (410) 951-4188

The provider's authorized official is Shavon T. Legette .
The authorized official title is Associate Director and has the following contact phone number (410) 951-4188.

The CLIA number assigned to this NPI record is 21D1004200 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/19/2007 and was last updated on 2/22/2013.

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
1261Q00000XClinic/CenterNo
2261QP2300XClinic/CenterPrimary CareMARYLANDYes

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
1216500700MEDICAIDMARYLAND
2628LMEDICARE PINMARYLAND
3216200700MEDICAIDMARYLAND

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: 11/21/2025

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