Medical Practices Of Antietam, Llc

LBN: Medical Practices Of Antietam, Llc
Medical Practices Of Antietam, Llc is an health care organization with primary practice located at 11110 Medical Campus Rd Ste 241 , Hagerstown MD 21742-6756. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Medical Practices Of Antietam, Llc can be contacted via phone (301) 714-4460, or through Repac, Joshua via phone (301) 790-9351.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 241 Hagerstown MD 21742-6756
Phone: (301) 714-4460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Repac, Joshua
Phone: (301) 790-9351

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1518686229
LBN Legal business name Medical Practices Of Antietam, Llc
DBA Doing business as
Authorized official Repac, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2022
Last updated Aug 25th, 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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