Edge Medical Care Pc
LBN: Edge Medical Care Pc
Edge Medical Care Pc is an health care organization with primary practice located at 5305 Kenilworth Ave Ste 100, Riverdale MD 20737-3110. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Edge Medical Care Pc can be contacted via phone (301) 277-7110, or through Ego-Osuala, George C via phone (301) 434-9147.
Contact Information
Primary practice address
5305 Kenilworth Ave Ste 100
Riverdale MD 20737-3110
Phone: (301) 277-7110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | D 47156 | Maryland |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | MD 21355 | District of Columbia |
Profile Details
| NPI number | 1447255609 |
|---|---|
| LBN Legal business name | Edge Medical Care Pc |
| DBA Doing business as | |
| Authorized official | Ego-Osuala, George C MD., FACP. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 10th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447255609 | NPPES |
| Maryland | Other | G02849 | MEDICARE GROUP PTAN |
| Maryland | MEDICAID | 852000300 | MEDICARE GROUP PTAN |
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