Southern Maryland Orthopaedic & Sports Medici Ne Center Pc

LBN: Southern Maryland Orthopaedic & Sports Medici Ne Center Pc
Southern Maryland Orthopaedic & Sports Medici Ne Center Pc is an health care organization with primary practice located at 23000 Moakley St Suite 102, Leonardtown MD 20650-2915. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Maryland Orthopaedic & Sports Medici Ne Center Pc can be contacted via phone (301) 475-5555, or through Mattingly, Heidi via phone (301) 475-5555.

Contact Information

Primary practice address
23000 Moakley St Suite 102 Leonardtown MD 20650-2915
Fax: (301) 475-8535
Website:
Authorized official contact:
Name: Mattingly, Heidi CMPE

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1285750059
LBN Legal business name Southern Maryland Orthopaedic & Sports Medici Ne Center Pc
DBA Doing business as
Authorized official Mattingly, Heidi CMPE
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 9th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285750059 NPPES
Maryland MEDICAID 225731900
Maryland Other 2878

Popular Providers