PIONEER CITY HEALTH CENTER – NPI #1912976796
Clinic/Center

PIONEER CITY HEALTH CENTER is an AHC clinic located in SEVERN, MD. NPPES has assigned the NPI number 1912976796 to PIONEER CITY HEALTH CENTER on March 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PIONEER CITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is PEOPLES COMMUNITY HEALTH CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 13 years ago on Dec 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PIONEER CITY HEALTH CENTER below.

NPI Profile for
PEOPLES COMMUNITY HEALTH CENTER, INC

NPI Number
1912976796
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEOPLES COMMUNITY HEALTH CENTER, INC
Doing Business As (dba): PIONEER CITY HEALTH CENTER
Primary location
8341 PIONEER DRIVE
SEVERN, MD 21144
Phone: (410) 467-6040 Fax:
Mailing address
2204 MARYLAND AVE
BALTIMORE, MD 21218-5625
Phone: (410) 467-6040 Fax:
Organization Subpart
No
Authorized Official
PATRICIA CASSATT
CHIEF EXECUTIVE OFFICER
Phone: (410) 235-8801
Updated
Identifiers

Identifiers for PIONEER CITY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMDH649
MEDICAIDMD910561100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.