Centennial Medical Group Multi Specialty
LBN: Centennial Medical Group, Pa
Centennial Medical Group Multi Specialty is an health care organization with primary practice located at 6250 Old Dobbin Ln , Columbia MD 21045-5816. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Centennial Medical Group, Pa can be contacted via phone (410) 730-3399, or through Young, Ria via phone (410) 730-3399.
Contact Information
Primary practice address
6250 Old Dobbin Ln
Columbia MD 21045-5816
Phone: (410) 730-3399
Fax: (443) 478-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
| NPI number | 1134235039 |
|---|---|
| LBN Legal business name | Centennial Medical Group, Pa |
| DBA Doing business as | Centennial Medical Group Multi Specialty |
| Authorized official | Young, Ria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 17th, 2024 - about 2 months 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 | 1134235039 | NPPES |
| Maryland | Other | R481 | BCBS |
| Maryland | MEDICAID | 470010400 | BCBS |
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