Organization Name: | MEDSTAR URGENT CARE LLC |
NPI Number: | 1558785162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH KUCHKA-CRAIG (CORPORATE VICE PRESIDENT) |
Mailing Address: | 1321 Riverside Pkwy Belcamp |
State: | MD US |
Postal Code: | 210171388 |
Phone Number: | 4102972380 |
Fax Number: | 4102972381 |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |