| Park West Health System | |
|
4151 Park Heights Ave Baltimore MD 21215-6730 | |
| (443) 884-7642 | |
| (443) 423-0002 |
| Full Name | Park West Health System |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4151 Park Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Cleo Laverne Edmonds (PROJECT DIRECTOR) |
| Authorized Official Contact | 4438847642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park West Health System 4151 Park Heights Avenue Hidden Garden Program Baltimore MD 21215 Ph: (443) 884-7642 | Park West Health System 4151 Park Heights Ave Baltimore MD 21215-6730 Ph: (443) 884-7642 |
| NPI Number | 1467823773 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467823773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Maryland) | Primary |
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