Organization Name: | PEOPLES COMMUNITY HEALTH CENTER, INC. |
NPI Number: | 1437589868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY FRUHLING (CEO) |
Mailing Address: | 1734 Maryland Avenue Baltimore |
State: | MD US |
Postal Code: | 21201 |
Phone Number: | 4104676040 |
Fax Number: | 4437432866 |
NPI Enumeration Date: | 11/21/2013 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |