Choiceone Urgent Care Iv

LBN: Statcare Group Iv, Pc
Choiceone Urgent Care Iv is an health care organization with primary practice located at 500 Ritchie Hwy Suite B, Severna Park MD 21146-2954. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Emergency Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Statcare Group Iv, Pc can be contacted via phone (410) 296-7190, or through Burger, Scott Theodore via phone (410) 296-7190.

Contact Information

Primary practice address
500 Ritchie Hwy Suite B Severna Park MD 21146-2954
Fax: (410) 296-0344
Website:
Authorized official contact:
Name: Burger, Scott Theodore Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X HOO62737 Maryland
Ambulatory Health Care Facilities / Urgent Care 261QU0200X H0062737 Maryland

Profile Details

NPI number 1548711872
LBN Legal business name Statcare Group Iv, Pc
DBA Doing business as Choiceone Urgent Care Iv
Authorized official Burger, Scott Theodore Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Dec 27th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548711872 NPPES
Maryland Other HOO62737 MEDICAL LICENSE

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