Bodyworks Medical

LBN: Bodyworks Medical
Bodyworks Medical is an health care organization with primary practice located at St. Agnes Medical Center 3455 Wilkens Ave Suite 100, Baltimore MD 21229. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Bodyworks Medical can be contacted via phone (240) 447-8036, or through Ragland, Phillip Sherman via phone (240) 448-3279.

Contact Information

Primary practice address
St. Agnes Medical Center 3455 Wilkens Ave Suite 100 Baltimore MD 21229
Phone: (240) 447-8036
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ragland, Phillip Sherman Doctor of Medicine (MD)
Phone: (240) 448-3279

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1265068373
LBN Legal business name Bodyworks Medical
DBA Doing business as
Authorized official Ragland, Phillip Sherman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2020
Last updated Mar 20th, 2020 - about 5 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 1265068373 NPPES
Maryland MEDICAID 968419100

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