Provider Demographics
NPI:1346796885
Name:COMMUNITY FIRST HEALTH CARE SERVICES COMPANY, LLC
Entity type:Organization
Organization Name:COMMUNITY FIRST HEALTH CARE SERVICES COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HARVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-361-1509
Mailing Address - Street 1:610 N LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2707
Mailing Address - Country:US
Mailing Address - Phone:410-617-0127
Mailing Address - Fax:
Practice Address - Street 1:610 N LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2707
Practice Address - Country:US
Practice Address - Phone:410-617-0127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QC1500X
MDMH-2077302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization