Parkville Medical Group Llc

LBN: Parkville Medical Group Llc
Parkville Medical Group Llc is an health care organization with primary practice located at 1721 Belfast Rd , Sparks MD 21152-9786. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Parkville Medical Group Llc can be contacted via phone (410) 371-3373, or through Stevenson, Terry Lynn via phone (410) 371-3373.

Contact Information

Primary practice address
1721 Belfast Rd Sparks MD 21152-9786
Phone: (410) 371-3373
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stevenson, Terry Lynn CRNP
Phone: (410) 371-3373

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1962960229
LBN Legal business name Parkville Medical Group Llc
DBA Doing business as
Authorized official Stevenson, Terry Lynn CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 7th, 2023 - about last year

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 1962960229 NPPES
Maryland MEDICAID 605M957F

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