Evergreen Medical Center, Llc
LBN: Primary Care Of Germantown,Lc
Evergreen Medical Center, Llc is an health care organization with primary practice located at 6 Executive Park Ct , Germantown MD 20874-2645. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Primary Care Of Germantown,Lc can be contacted via phone (301) 515-9160, or through Yang, Sharon Xiao-Chun via phone (240) 688-6949.
Contact Information
Primary practice address
6 Executive Park Ct
Germantown MD 20874-2645
Phone: (301) 515-9160
Fax: (301) 515-7388
Website:
Authorized official contact:
Name: Yang, Sharon Xiao-Chun Doctor of Medicine (MD)
Phone: (240) 688-6949
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | D0061696 | Maryland |
Profile Details
| NPI number | 1861517336 |
|---|---|
| LBN Legal business name | Primary Care Of Germantown,Lc |
| DBA Doing business as | Evergreen Medical Center, Llc |
| Authorized official | Yang, Sharon Xiao-Chun Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jun 1st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861517336 | NPPES |
| Maryland | Other | 150491ZDG4 | MEDICARE GROUP PROVIDER NUMBER |
| Maryland | MEDICAID | 404942000 | MEDICARE GROUP PROVIDER NUMBER |
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