| Community Health Center, Llc | |
|
1700 Reisterstown Rd Suite 214 Baltimore MD 21208-1416 | |
| (410) 484-1888 | |
| (410) 484-3999 |
| Full Name | Community Health Center, Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1700 Reisterstown Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Alexander Trepetin (MANAGER) |
| Authorized Official Contact | 4105307583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center, Llc 1700 Reisterstown Rd Suite 214 Baltimore MD 21208-1416 Ph: (410) 484-1888 | Community Health Center, Llc 1700 Reisterstown Rd Suite 214 Baltimore MD 21208-1416 Ph: (410) 484-1888 |
| NPI Number | 1508144619 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508144619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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