Prevention & Management Outreach Clinic Inc.

LBN: Prevention &Management Outreach Clinic Inc.
Prevention & Management Outreach Clinic Inc. is an health care organization with primary practice located at 5941 Millrace Ct Unit D103 , Columbia MD 21045-7204. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Prevention &Management Outreach Clinic Inc. can be contacted via phone (410) 312-3126, or through Bush, Lisa via phone (410) 312-3126.

Contact Information

Primary practice address
5941 Millrace Ct Unit D103 Columbia MD 21045-7204
Phone: (410) 312-3126
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, Lisa
Phone: (410) 312-3126

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X Maryland
Managed Care Organizations / Preferred Provider Organization 305R00000X 0000000000 Maryland
Managed Care Organizations / Preferred Provider Organization 305R00000X 30500000X Maryland

Profile Details

NPI number 1619122504
LBN Legal business name Prevention &Management Outreach Clinic Inc.
DBA Doing business as Prevention & Management Outreach Clinic Inc.
Authorized official Bush, Lisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2008
Last updated Nov 19th, 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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