Blackwater Medical Associates, Llc
LBN: Blackwater Medical Associates, Llc
Blackwater Medical Associates, Llc is an health care organization with primary practice located at 408 Byrn St , Cambridge MD 21613-1910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Blackwater Medical Associates, Llc can be contacted via phone (410) 228-1068, or through Malkus, Mark M via phone (410) 228-1068.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0050804 | Maryland |
Profile Details
| NPI number | 1508986092 |
|---|---|
| LBN Legal business name | Blackwater Medical Associates, Llc |
| DBA Doing business as | |
| Authorized official | Malkus, Mark M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508986092 | NPPES |
| Maryland | MEDICAID | 7810000800 |
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