Centennial Medical Group, Pa

LBN: Centennial Medical Group, Pa
Centennial Medical Group, Pa is an health care organization with primary practice located at 10120 Baltimore National Pike , Ellicott City MD 21042-3614. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Centennial Medical Group, Pa can be contacted via phone (410) 694-7999, or through Young, Ria L via phone (410) 730-3399.

Contact Information

Primary practice address
10120 Baltimore National Pike Ellicott City MD 21042-3614
Phone: (410) 694-7999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Ria L
Phone: (410) 730-3399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1245953009
LBN Legal business name Centennial Medical Group, Pa
DBA Doing business as
Authorized official Young, Ria L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2022
Last updated Feb 28th, 2024 - about 10 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.

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