Csu Community Health Center
LBN: Coppin State University
Csu Community Health Center is an health care organization with primary practice located at 2500 W North Ave Suite 131, Baltimore MD 21216-3633. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Coppin State University can be contacted via phone (410) 951-4188, or through Legette, Shavon T. via phone (410) 951-4188.
Contact Information
Primary practice address
2500 W North Ave Suite 131
Baltimore MD 21216-3633
Phone: (410) 951-4188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Maryland |
Profile Details
| NPI number | 1427244706 |
|---|---|
| LBN Legal business name | Coppin State University |
| DBA Doing business as | Csu Community Health Center |
| Authorized official | Legette, Shavon T. CRNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Feb 22nd, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427244706 | NPPES |
| Maryland | MEDICAID | 216200700 | |
| Maryland | MEDICAID | 216500700 |
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