Primary Elite Healthcare, Llc

LBN: Primary Elite Healthcare, Llc
Primary Elite Healthcare, Llc is an health care organization with primary practice located at 9627 Eaves Drive , Owings Mills MD 21117. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Primary Elite Healthcare, Llc can be contacted via phone (443) 744-6214, or through Williams, Theressa via phone (443) 744-6214.

Contact Information

Primary practice address
9627 Eaves Drive Owings Mills MD 21117
Phone: (443) 744-6214
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Theressa CRNP
Phone: (443) 744-6214

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1568056802
LBN Legal business name Primary Elite Healthcare, Llc
DBA Doing business as
Authorized official Williams, Theressa CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2021
Last updated Feb 26th, 2021 - about 3 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 1568056802 NPPES
Maryland MEDICAID 1689148256
Maryland MEDICAID 1922514348

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