Matclinic Physicians Practice Group Llc
LBN: Matclinic Physicians Practice Group Llc
Matclinic Physicians Practice Group Llc is an health care organization with primary practice located at 107 Ridgely Ave Ste 12 , Annapolis MD 21401-1417. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Matclinic Physicians Practice Group Llc can be contacted via phone (410) 220-0780, or through Reck, Dan via phone (410) 220-0780.
Contact Information
Primary practice address
107 Ridgely Ave Ste 12
Annapolis MD 21401-1417
Phone: (410) 220-0780
Fax: (410) 862-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1316557051 |
|---|---|
| LBN Legal business name | Matclinic Physicians Practice Group Llc |
| DBA Doing business as | |
| Authorized official | Reck, Dan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2020 |
| Last updated | May 11th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316557051 | NPPES |
| Maryland | MEDICAID | 661011101 | |
| Maryland | Other | 200710012 |
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