Bluegrass Mental Health

LBN: Bluegrass Mental Health
Bluegrass Mental Health is an health care organization with primary practice located at 5840 Banneker Rd Suite 200, Columbia MD 21044. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bluegrass Mental Health can be contacted via phone (410) 630-7007, or through Mathis, Mitchell Vincent via phone (240) 678-6118.

Contact Information

Primary practice address
5840 Banneker Rd Suite 200 Columbia MD 21044
Phone: (410) 630-7007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Mitchell Vincent Doctor of Medicine (MD)
Phone: (240) 678-6118

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1639561384
LBN Legal business name Bluegrass Mental Health
DBA Doing business as
Authorized official Mathis, Mitchell Vincent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2015
Last updated Jun 29th, 2018 - about 6 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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