Christa L Martin Dba South Side Pediatrics
LBN: Southside Pediatrics & Adult Care Llc
Christa L Martin Dba South Side Pediatrics is an health care organization with primary practice located at 1185 Mount Aetna Rd Ste 200 , Hagerstown MD 21740-6832. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Southside Pediatrics & Adult Care Llc can be contacted via phone (240) 513-6300, or through Martin, Christa via phone (240) 513-6300.
Contact Information
Primary practice address
1185 Mount Aetna Rd Ste 200
Hagerstown MD 21740-6832
Phone: (240) 513-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 193525 | Maryland |
Profile Details
| NPI number | 1669970067 |
|---|---|
| LBN Legal business name | Southside Pediatrics & Adult Care Llc |
| DBA Doing business as | Christa L Martin Dba South Side Pediatrics |
| Authorized official | Martin, Christa CRNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2018 |
| Last updated | Jun 9th, 2022 - about 2 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 | 1669970067 | NPPES |
| Maryland | Other | 1053302455 | INDIVIDUAL NPI |
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