Civista Medical Center Inc

LBN: Civista Medical Center Inc
Civista Medical Center Inc is an health care organization with primary practice located at 5 Garrett Avenue , La Plata MD 20646-1070. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Civista Medical Center Inc can be contacted via phone (301) 609-4474, or through Zanger, Albert via phone (301) 609-5163.

Contact Information

Primary practice address
5 Garrett Avenue La Plata MD 20646-1070
Phone: (301) 609-4474
Fax: (301) 609-4411
Website:
Map and Directions
Authorized official contact:
Name: Zanger, Albert
Phone: (301) 609-5163

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X Maryland

Profile Details

NPI number 1992701825
LBN Legal business name Civista Medical Center Inc
DBA Doing business as
Authorized official Zanger, Albert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 11th, 2023 - about last year

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 1992701825 NPPES
Maryland MEDICAID 003355200

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