Centennial Medical Group, Pa

LBN: Centennial Medical Group, Pa
Centennial Medical Group, Pa is an health care organization with primary practice located at 161 Ritchie Hwy , Severna Park MD 21146-1116. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Centennial Medical Group, Pa can be contacted via phone (410) 721-2333, or through Young, Ria via phone (410) 730-3399.

Contact Information

Primary practice address
161 Ritchie Hwy Severna Park MD 21146-1116
Phone: (410) 721-2333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Ria
Phone: (410) 730-3399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1629717426
LBN Legal business name Centennial Medical Group, Pa
DBA Doing business as
Authorized official Young, Ria
Entity Organization
Organization subpart 1 Yes
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 4 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.

Request for update

Popular Providers