Park West Health Systems Incorporated

LBN: Park West Health Systems Incorporated
Park West Health Systems Incorporated is an health care organization with primary practice located at 3319 W Belvedere Ave , Baltimore MD 21215-5103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Park West Health Systems Incorporated can be contacted via phone (410) 542-7800, or through Mitchell, Terri via phone (410) 542-7800.

Contact Information

Primary practice address
3319 W Belvedere Ave Baltimore MD 21215-5103
Phone: (410) 542-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Terri
Phone: (410) 542-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Maryland

Profile Details

NPI number 1205896719
LBN Legal business name Park West Health Systems Incorporated
DBA Doing business as
Authorized official Mitchell, Terri
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated May 20th, 2011 - about 13 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 1205896719 NPPES
Maryland MEDICAID 912391100

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