Gennesaret Medical Center, Llc

LBN: Gennesaret Medical Center, Llc
Gennesaret Medical Center, Llc is an health care organization with primary practice located at 13992 Baltimore Ave Ste 200 , Laurel MD 20707-5010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Gennesaret Medical Center, Llc can be contacted via phone (410) 528-6003, or through Opesanmi, Toyin via phone (410) 963-5870.

Contact Information

Primary practice address
13992 Baltimore Ave Ste 200 Laurel MD 20707-5010
Phone: (410) 528-6003
Fax: (410) 528-6004
Website:
Map and Directions
Authorized official contact:
Name: Opesanmi, Toyin Doctor of Medicine (MD)
Phone: (410) 963-5870

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X D0059876 Maryland

Profile Details

NPI number 1588962245
LBN Legal business name Gennesaret Medical Center, Llc
DBA Doing business as
Authorized official Opesanmi, Toyin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2011
Last updated May 17th, 2019 - about 6 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 1588962245 NPPES
Maryland MEDICAID 000911300

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