Tidalhealth Primary Care, Llc

LBN: Tidalhealth Primary Care, Llc
Tidalhealth Primary Care, Llc is an health care organization with primary practice located at 560 Riverside Dr Ste B204 , Salisbury MD 21801-4703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tidalhealth Primary Care, Llc can be contacted via phone (410) 543-7720, or through Gary, Stephanie via phone (410) 912-4976.

Contact Information

Primary practice address
560 Riverside Dr Ste B204 Salisbury MD 21801-4703
Phone: (410) 543-7720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gary, Stephanie
Phone: (410) 912-4976

Health care specialties

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

Profile Details

NPI number 1114784188
LBN Legal business name Tidalhealth Primary Care, Llc
DBA Doing business as
Authorized official Gary, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 9 months 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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