Matclinic Physicians Practice Group Llc
LBN: Matclinic Physicians Practice Group Llc
Matclinic Physicians Practice Group Llc is an health care organization with primary practice located at 601 7Th St Ste 304 , Laurel MD 20707-4011. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Matclinic Physicians Practice Group Llc can be contacted via phone (410) 220-0780, or through Reck, Dan via phone (410) 220-0780.
Contact Information
Primary practice address
601 7Th St Ste 304
Laurel MD 20707-4011
Phone: (410) 220-0780
Fax: (410) 862-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1265084727 |
|---|---|
| LBN Legal business name | Matclinic Physicians Practice Group Llc |
| DBA Doing business as | |
| Authorized official | Reck, Dan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2019 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265084727 | NPPES |
| Maryland | MEDICAID | 661009900 |
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