Civista Women'S Health Center

LBN: Civista Clinical Services Llc
Civista Women'S Health Center is an health care organization with primary practice located at 11315 Pembrooke Sq Ste 111 , Waldorf MD 20603-4806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Civista Clinical Services Llc can be contacted via phone (301) 843-3150, or through Montes De Oca, Ivette M via phone (301) 843-3150.

Contact Information

Primary practice address
11315 Pembrooke Sq Ste 111 Waldorf MD 20603-4806
Phone: (301) 843-3150
Fax: (301) 843-2560
Website:
Map and Directions
Authorized official contact:
Name: Montes De Oca, Ivette M
Phone: (301) 843-3150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X D0065304 Maryland

Profile Details

NPI number 1831417476
LBN Legal business name Civista Clinical Services Llc
DBA Doing business as Civista Women'S Health Center
Authorized official Montes De Oca, Ivette M
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2010
Last updated Dec 17th, 2019 - 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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