Potomac Family Medicine

LBN: Potomac Family Medicine
Potomac Family Medicine is an health care organization with primary practice located at 13424 Pennsylvania Ave Suite 101, Hagerstown MD 21742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Potomac Family Medicine can be contacted via phone (301) 791-7900, or through Lee, Deborah R via phone (301) 791-7900.

Contact Information

Primary practice address
13424 Pennsylvania Ave Suite 101 Hagerstown MD 21742
Phone: (301) 791-7900
Fax: (301) 791-3686
Website:
Map and Directions
Authorized official contact:
Name: Lee, Deborah R
Phone: (301) 791-7900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NOT APPLICABLE Maryland

Profile Details

NPI number 1255336483
LBN Legal business name Potomac Family Medicine
DBA Doing business as
Authorized official Lee, Deborah R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated May 7th, 2008 - about 16 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 1255336483 NPPES
Maryland Other S328 BLUECROSS/BLUESHIELD
Maryland MEDICAID 599121800 BLUECROSS/BLUESHIELD
Maryland Other 202589 BLUECROSS/BLUESHIELD

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