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 107 Ridgely Ave Ste 12 , Annapolis MD 21401-1417. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Matclinic Physicians Practice Group Llc can be contacted via phone (410) 220-0780, or through Reck, Daniel via phone (410) 220-0780.

Contact Information

Primary practice address
107 Ridgely Ave Ste 12 Annapolis MD 21401-1417
Phone: (410) 220-0780
Fax: (410) 862-0150
Website:
Map and Directions
Authorized official contact:
Name: Reck, Daniel
Phone: (410) 220-0780

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1821647934
LBN Legal business name Matclinic Physicians Practice Group Llc
DBA Doing business as
Authorized official Reck, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821647934 NPPES
Maryland MEDICAID 265074602
Maryland Other 190809021

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