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 40 York Rd Ste 201 , Towson MD 21204-5243. 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
40 York Rd Ste 201 Towson MD 21204-5243
Phone: (410) 220-0780
Fax: (410) 862-0150
Website:
Map and Directions
Authorized official contact:
Name: Reck, Dan
Phone: (410) 220-0780

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1699385336
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699385336 NPPES
Maryland MEDICAID 661011103
Maryland Other 200710013

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