Revolution Medical Center

LBN: Kohli Llc
Revolution Medical Center is an health care organization with primary practice located at 603 Revolution St , Havre De Grace MD 21078-3319. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kohli Llc can be contacted via phone (410) 942-1015, or through Martin, Crystal Marie via phone (410) 942-1015.

Contact Information

Primary practice address
603 Revolution St Havre De Grace MD 21078-3319
Phone: (410) 942-1015
Fax: (410) 942-1016
Website:
Map and Directions
Authorized official contact:
Name: Martin, Crystal Marie
Phone: (410) 942-1015

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D 71586 Maryland
Other Service Providers / Specialist 174400000X D 50806 Maryland

Profile Details

NPI number 1700165818
LBN Legal business name Kohli Llc
DBA Doing business as Revolution Medical Center
Authorized official Martin, Crystal Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2011
Last updated Aug 6th, 2011 - about 14 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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