La Plata Pediatrics & Family Health, Llc

LBN: La Plata Pediatrics & Family Health, Llc
La Plata Pediatrics & Family Health, Llc is an health care organization with primary practice located at 103 Centennial St Suite B, La Plata MD 20646-5984. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. La Plata Pediatrics & Family Health, Llc can be contacted via phone (301) 643-8127, or through Reidy, Jamie via phone (013) 934-9111.

Contact Information

Primary practice address
103 Centennial St Suite B La Plata MD 20646-5984
Phone: (301) 643-8127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reidy, Jamie CRNP
Phone: (013) 934-9111

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Health Service 261QH0100X R162903 Maryland
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X R162903 Maryland

Profile Details

NPI number 1891001996
LBN Legal business name La Plata Pediatrics & Family Health, Llc
DBA Doing business as
Authorized official Reidy, Jamie CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2010
Last updated Jul 21st, 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 1891001996 NPPES
Maryland MEDICAID 033338700

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