Shore Medical Pavilion At Queenstown

LBN: Shore Health System, Inc
Shore Medical Pavilion At Queenstown is an health care organization with primary practice located at 125 Shoreway Drive Suite 130, Queenstown MD 21658. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Shore Health System, Inc can be contacted via phone (410) 827-3811, or through Kozel, Kenneth D via phone (410) 822-1000.

Contact Information

Primary practice address
125 Shoreway Drive Suite 130 Queenstown MD 21658
Phone: (410) 827-3811
Fax: (410) 827-3156
Website:
Map and Directions
Authorized official contact:
Name: Kozel, Kenneth D
Phone: (410) 822-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1548771249
LBN Legal business name Shore Health System, Inc
DBA Doing business as Shore Medical Pavilion At Queenstown
Authorized official Kozel, Kenneth D
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2017
Last updated Oct 20th, 2017 - about 7 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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