| Organization Name: | MCCREADY FOUNDATION, INC |
| NPI Number: | 1124485990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANKLIN COLLINS (PATIENT ACCOUNT MANAGER) |
| Mailing Address: | 12208 Brittingham Ln Princess Anne |
| State: | MD US |
| Postal Code: | 218532214 |
| Phone Number: | 4109681029 |
| Fax Number: | 4109681025 |
| NPI Enumeration Date: | 01/25/2016 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |