CSU COMMUNITY HEALTH CENTER
NPI 1427244706
Clinic/Center - Primary Care in Baltimore, MD

Q: What is Coppin State University's NPI number?

The NPI number for Coppin State University is 1427244706. It was assigned to this organization in the NPPES registry on September 19, 2007. The provider is doing business as Csu Community Health Center.

Q: What is Coppin State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 19, 2007CLIA 21D1004200 · Microscopy

2500 W NORTH AVE, SUITE 131, BALTIMORE, MD 21216(410) 951-4188 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Csu Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CSU COMMUNITY HEALTH CENTER (NPI 1427244706) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through April 19, 2028 and lists Shavon T. Legette, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1427244706

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOPPIN STATE UNIVERSITY

Location Address2500 W NORTH AVE, SUITE 131Baltimore, MD 21216-3633

Mailing Address2601 W. North Avenue, Suite 131Baltimore, MD 21216 · (410) 951-4188 · Fax (410) 951-6158

Phone(410) 951-4188

Organization SubpartNo

Authorized OfficialShavon T. LegetteAssociate Director · (410) 951-4188

Enumeration DateSeptember 19, 2007

Last NPPES UpdateFebruary 22, 2013

✔ NPI 1427244706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedClinic/CenterTaxonomy 261Q00000X

2500 W NORTH AVE, Baltimore, MD 21216

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Other Names 1

Doing Business AsCsu Community Health Center

Other Identifiers 3

Medicaid216500700MD

Medicare PIN628LMD

Medicaid216200700MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1004200

Coppin State University Comm Health Center · Baltimore, MD

Active · expires Apr 19, 2028

CLIA Number21D1004200

Laboratory TypeCommunity Clinic

Certificate Effective DateApril 20, 2026

Certificate Expiration DateApril 19, 2028

Laboratory DirectorShavon Darden

Laboratory Phone(410) 951-4188

Laboratory LocationCoppin State University Comm Health Center2601 West North Avenue, Ste 131, Baltimore, MD 21216

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN TILGHMAN NP

Nurse Practitioner (Women's Health)