Penn North

LBN: Maryland Community Health Initiatives, Inc.
Penn North is an health care organization with primary practice located at 2404 Pennsylvania Ave , Baltimore MD 21217-1722. The organization recently has only one registered license in Ambulatory Health Care Facilities / Recovery Care, which is considered as the primary health care specialty. Maryland Community Health Initiatives, Inc. can be contacted via phone (410) 728-2080, or through Brooks, William via phone (410) 728-2080.

Contact Information

Primary practice address
2404 Pennsylvania Ave Baltimore MD 21217-1722
Phone: (410) 728-2080
Fax: (410) 728-2038
Website:
Map and Directions
Authorized official contact:
Name: Brooks, William
Phone: (410) 728-2080

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Recovery Care 261QR0800X Maryland

Profile Details

NPI number 1457802753
LBN Legal business name Maryland Community Health Initiatives, Inc.
DBA Doing business as Penn North
Authorized official Brooks, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Feb 28th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457802753 NPPES
Maryland MEDICAID 404876800

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