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MAYOR AND CITY COUNCIL OF BALTIMORE NPI 1528534062


NPI Information

NPI: 1528534062
Provider Name: MAYOR AND CITY COUNCIL OF BALTIMORE

Other Name: BOOKER T WASHINGTON TELEMEDICINE

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 21D2228135

Address:
1301 MCCULLOH ST
BALTIMORE, MD
ZIP 21217
Phone: (410) 396-7734
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MAYOR AND CITY COUNCIL OF BALTIMORE is a student health clinic center in Baltimore, MD. MAYOR AND CITY COUNCIL OF BALTIMORE NPI is 1528534062. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Booker T Washington Telemedicine.

The provider's business location address is:

1301 MCCULLOH ST
BALTIMORE, MD
ZIP 21217-044
Phone: (410) 396-7734

The provider's authorized official is Tyrone Alonzo Chapman .
The authorized official title is Billing & Revenue Mgr. and has the following contact phone number (410) 396-8000.

The CLIA number assigned to this NPI record is 21D2228135 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/3/2023.


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
1208000000XPediatricsNo
2261QP0905XClinic/CenterPublic Health, State or LocalNo
3261QS1000XClinic/CenterStudent HealthYes

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

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