Opal Medical Group, P.A.

LBN: Opal Medical Group, P.A.
Opal Medical Group, P.A. is an health care organization with primary practice located at 1126 Opal Court , Hagerstown MD 21740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Opal Medical Group, P.A. can be contacted via phone (240) 420-2666, or through Hose, Amy Renee via phone (240) 420-6909.

Contact Information

Primary practice address
1126 Opal Court Hagerstown MD 21740
Phone: (240) 420-2666
Fax: (240) 420-0951
Website:
Map and Directions
Authorized official contact:
Name: Hose, Amy Renee
Phone: (240) 420-6909

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D52323 Maryland

Profile Details

NPI number 1477639862
LBN Legal business name Opal Medical Group, P.A.
DBA Doing business as
Authorized official Hose, Amy Renee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Feb 24th, 2010 - about 14 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 1477639862 NPPES
Maryland MEDICAID 404343000

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