Annapolis Primary Care

LBN: Luminis Health Medical Group, Llc
Annapolis Primary Care is an health care organization with primary practice located at 2002 Medical Pkwy Suite 670, Annapolis MD 21401-3046. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Luminis Health Medical Group, Llc can be contacted via phone (443) 481-1150, or through Clarke, Stephen via phone (443) 481-6558.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 670 Annapolis MD 21401-3046
Phone: (443) 481-1150
Fax: (410) 224-0065
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Stephen
Phone: (443) 481-6558

Health care specialties

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

Profile Details

NPI number 1053389825
LBN Legal business name Luminis Health Medical Group, Llc
DBA Doing business as Annapolis Primary Care
Authorized official Clarke, Stephen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2006
Last updated May 21st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053389825 NPPES
Maryland Other 953BAN BCBS
Maryland MEDICAID 407175103 BCBS
Maryland Other K640 BCBS

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