Bayside Primary Care Llc

LBN: Bayside Primary Care Llc
Bayside Primary Care Llc is an health care organization with primary practice located at 301 Steeple Chase Dr Ste 103, Prince Frederick MD 20678-4049. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bayside Primary Care Llc can be contacted via phone (410) 414-5633, or through Brower, Deborah R via phone (410) 414-5633.

Contact Information

Primary practice address
301 Steeple Chase Dr Ste 103 Prince Frederick MD 20678-4049
Phone: (410) 414-5633
Fax: (410) 414-5911
Website:
Map and Directions
Authorized official contact:
Name: Brower, Deborah R CRNP
Phone: (410) 414-5633

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R126934 Maryland

Profile Details

NPI number 1093834830
LBN Legal business name Bayside Primary Care Llc
DBA Doing business as
Authorized official Brower, Deborah R CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated May 27th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093834830 NPPES
Maryland MEDICAID 410114600

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