COMMUNITY CARE CENTER CORPORATION NPI 1467714618

NPI Information

NPI: 1467714618
Provider Name: COMMUNITY CARE CENTER CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1216 E BALTIMORE ST
ATTN: COMMUNITY CARE CENTER
BALTIMORE, MD
ZIP 21202
Phone: (410) 870-5483
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COMMUNITY CARE CENTER CORPORATION is a primary care clinic center in Baltimore, MD. COMMUNITY CARE CENTER CORPORATION NPI is 1467714618. The provider is registered as an organization entity type.

The provider's business location address is:

1216 E BALTIMORE ST
ATTN: COMMUNITY CARE CENTER
BALTIMORE, MD
ZIP 21202-710
Phone: (410) 870-5483

The provider's authorized official is Michael M Rogers .
The authorized official title is Board Member and has the following contact phone number (410) 870-5483.

The enumeration date for this NPI number is 6/13/2012 and was last updated on 11/23/2012.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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

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