Provider Demographics
NPI:1720543051
Name:TURNING POINT CLINIC INC.
Entity type:Organization
Organization Name:TURNING POINT CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELEGRINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-675-2113
Mailing Address - Street 1:2401 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1517
Mailing Address - Country:US
Mailing Address - Phone:410-868-5638
Mailing Address - Fax:443-864-4285
Practice Address - Street 1:2401 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1517
Practice Address - Country:US
Practice Address - Phone:410-868-5638
Practice Address - Fax:443-864-4285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4029887P0001Medicaid