Healthcare Provider Details

I. General information

NPI: 1942297429
Provider Name (Legal Business Name): MAYOR AND CITY COUNCIL OF BALTIMORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E FAYETTE ST
BALTIMORE MD
21202
US

IV. Provider business mailing address

1001 E FAYETTE ST
BALTIMORE MD
21202-4715
US

V. Phone/Fax

Practice location:
  • Phone: 410-396-3048
  • Fax: 410-396-3965
Mailing address:
  • Phone: 410-545-7000
  • Fax: 410-396-5525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberD26524
License Number StateMD

VIII. Authorized Official

Name: TYRONE ALONZO CHAPMAN
Title or Position: BILLING AND REVENUE CYCLE MGR
Credential:
Phone: 443-739-3253