Provider Demographics
NPI:1245491216
Name:ST. FRANCES ACADEMY SCHOOL BASED HEALTH CENTER
Entity type:Organization
Organization Name:ST. FRANCES ACADEMY SCHOOL BASED HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-951-3990
Mailing Address - Street 1:501 E CHASE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4206
Mailing Address - Country:US
Mailing Address - Phone:410-539-5794
Mailing Address - Fax:410-685-2650
Practice Address - Street 1:501 E CHASE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4206
Practice Address - Country:US
Practice Address - Phone:410-539-5794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COPPIN STATE UNIVERSITY HELENE FULD SCHOOL OF NURSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-22
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service