Tidalhealth Community Wellness

LBN: Tidalhealth Primary Care, Llc
Tidalhealth Community Wellness is an health care organization with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Community Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Tidalhealth Primary Care, Llc can be contacted via phone (410) 546-6400, or through Gary, Stephanie via phone (410) 912-4976.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 546-6400
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
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1255198214
LBN Legal business name Tidalhealth Primary Care, Llc
DBA Doing business as Tidalhealth Community Wellness
Authorized official Gary, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 6 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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