CHANGE HEALTH SYSTEMS, INC (NPI# 1164932935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164932935 |
| Entity Type | Organization |
| Organization Name | CHANGE HEALTH SYSTEMS, INC |
| Practice Address |
300 W Lexington St Baltimore MD 21201-3418 |
| Mailing Address |
2401 Liberty Heights Ave Ste 4670 Baltimore MD 21215-8032 |
| Practice Telephone | 4102331088 |
| Mailing Telephone | 4102331088 |
| Mailing Fax Number | 4102331087 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | OLAOLUWASUPO OJO (CEO) |
| Authorized Official Telephone | 4102331088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 000000000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139380 | Change Health Systems, Inc | Clinic/Center | 7 N Potomac St, Hagerstown, MD 21740-4805 | 2015-07-10 |
| 1093236200 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-28 |
| 1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
| 1902336886 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-14 |
| 1134503022 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-07-10 |
| 1215319199 | Change Health Systems, Inc | Clinic/Center | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2015-06-26 |
| 1235526351 | Change Health Systems, Inc | Community/Behavioral Health | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-04-16 |
| 1750428470 | Change Health Systems, Inc | Community/Behavioral Health | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2007-01-31 |
| 1558414862 | Change Health Systems, Inc | Community/Behavioral Health | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2007-01-19 |
| Street Address |
300 W LEXINGTON ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124268156 | America's Best Contacts & Eyeglasses | Technician/Technologist | 300 W Lexington St, Baltimore, MD 21201-3418 | 2009-03-04 |
| 1093236200 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-28 |
| 1902336886 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-14 |
| 1134503022 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-07-10 |
| 1235526351 | Change Health Systems, Inc | Community/Behavioral Health | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1932734266 | Redeeming Light Wellness Center LLC | Clinic/Center | 1 N Charles St Ste 1503, Baltimore, MD 21201-3724 | 2020-03-06 |
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| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.