MARYLAND COMMUNITY HEALTH INITIATIVES INC. NPI 1457802753

NPI Information

NPI: 1457802753
Provider Name: MARYLAND COMMUNITY HEALTH INITIATIVES, INC.

Other Name: PENN NORTH

Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
2404 PENNSYLVANIA AVE
BALTIMORE, MD
ZIP 21217
Phone: (410) 728-2080
Get Directions

MARYLAND COMMUNITY HEALTH INITIATIVES, INC. is a recovery care clinic center in Baltimore, MD. MARYLAND COMMUNITY HEALTH INITIATIVES, INC. NPI is 1457802753. The provider is registered as an organization entity type.
The provider Other Name Is Penn North.

The provider's business location address is:

2404 PENNSYLVANIA AVE
BALTIMORE, MD
ZIP 21217-722
Phone: (410) 728-2080
Fax: (410) 728-2038

The provider's authorized official is William Brooks .
The authorized official title is Ceo and has the following contact phone number (410) 728-2080.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 2/28/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0800X	Clinic/Center	Recovery Care		MARYLAND	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	404876800	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 »