Renaissance Primary Care And Wellness Group Llc

LBN: Renaissance Primary Care And Wellness Group Llc
Renaissance Primary Care And Wellness Group Llc is an health care organization with primary practice located at 5500 Knoll North Dr Suite 250, Columbia MD 21045-2209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Renaissance Primary Care And Wellness Group Llc can be contacted via phone (410) 772-8001, or through Greenwood, Lindiwe F via phone (410) 772-8001.

Contact Information

Primary practice address
5500 Knoll North Dr Suite 250 Columbia MD 21045-2209
Fax: (410) 772-8004
Website:
Authorized official contact:
Name: Greenwood, Lindiwe F Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0060109 Maryland

Profile Details

NPI number 1609097112
LBN Legal business name Renaissance Primary Care And Wellness Group Llc
DBA Doing business as
Authorized official Greenwood, Lindiwe F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated May 13th, 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 1609097112 NPPES
Maryland MEDICAID 405788100
Maryland Other 75XBLF
Maryland Other 33760001

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