Frederick Family Medical Clinic
LBN: Jarrett Corporation
Frederick Family Medical Clinic is an health care organization with primary practice located at 45 Waverley Dr Suite O, Frederick MD 21702-4854. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Jarrett Corporation can be contacted via phone (301) 624-5999, or through Monya-Tambi, Innocent via phone (443) 370-5348.
Contact Information
Primary practice address
45 Waverley Dr Suite O
Frederick MD 21702-4854
Phone: (301) 624-5999
Fax: (301) 624-5997
Website:
Authorized official contact:
Name: Monya-Tambi, Innocent Doctor of Medicine (MD)
Phone: (443) 370-5348
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | D0076463 | Maryland |
Profile Details
| NPI number | 1285006288 |
|---|---|
| LBN Legal business name | Jarrett Corporation |
| DBA Doing business as | Frederick Family Medical Clinic |
| Authorized official | Monya-Tambi, Innocent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2015 |
| Last updated | Jul 15th, 2016 - about 10 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.
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