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 S Dundalk Ave Ste 400 , Dundalk MD 21222-4273. The organization recently has only one registered license in Agencies / Community/Behavioral Health, 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, Daniel via phone (410) 220-0780.

Contact Information

Primary practice address
40 S Dundalk Ave Ste 400 Dundalk MD 21222-4273
Phone: (410) 220-0780
Fax: (410) 862-0150
Website:
Map and Directions
Authorized official contact:
Name: Reck, Daniel
Phone: (410) 220-0780

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1720637747
LBN Legal business name Matclinic Physicians Practice Group Llc
DBA Doing business as
Authorized official Reck, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2019
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720637747 NPPES
Maryland Other 190809056 DEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN
Maryland MEDICAID 444186900 DEPT OF HEALTH, BEHAVIORAL HEALTH ADMIN

Popular Providers