Park West Health System Incorporated

LBN: Park West Health System Incorporated
Park West Health System Incorporated is an health care organization with primary practice located at 4120 Patterson Ave , Baltimore MD 21215-2254. 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 System Incorporated can be contacted via phone (410) 542-7800, or through Fields, Terri via phone (443) 567-6120.

Contact Information

Primary practice address
4120 Patterson Ave Baltimore MD 21215-2254
Phone: (410) 542-7800
Fax: (410) 542-5279
Website:
Map and Directions
Authorized official contact:
Name: Fields, Terri CPAT, CPC, CCS
Phone: (443) 567-6120

Health care specialties

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

Profile Details

NPI number 1497801153
LBN Legal business name Park West Health System Incorporated
DBA Doing business as
Authorized official Fields, Terri CPAT, CPC, CCS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 24th, 2024 - about last year

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 1497801153 NPPES
Maryland MEDICAID 912391100

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