COPPIN STATE UNIVERSITY NPI 1427244706

NPI Information

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 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:

Other Identifiers

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

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