Pax River Medical Clinic, Llc
LBN: Pax River Medical Clinic, Llc
Pax River Medical Clinic, Llc is an health care organization with primary practice located at 46940 S Shangri La Dr Suite #19, Lexington Park MD 20653-1037. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Pax River Medical Clinic, Llc can be contacted via phone (301) 863-8101, or through Martin, Katherine Ann via phone (301) 863-8101.
Contact Information
Primary practice address
46940 S Shangri La Dr Suite #19
Lexington Park MD 20653-1037
Phone: (301) 863-8101
Fax: (301) 863-8130
Website:
Authorized official contact:
Name: Martin, Katherine Ann Doctor of Osteopathy (DO)
Phone: (301) 863-8101
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | H0055958 | Maryland |
Profile Details
| NPI number | 1083807085 |
|---|---|
| LBN Legal business name | Pax River Medical Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Martin, Katherine Ann Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | May 9th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083807085 | NPPES |
| Maryland | Other | 1437267986 | INDIVIDUAL NPI # |
| Maryland | MEDICAID | 011218600 | INDIVIDUAL NPI # |
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