Medstar Medical Group - Southern Maryland Llc

LBN: Medstar Medical Group - Southern Maryland Llc
Medstar Medical Group - Southern Maryland Llc is an health care organization with primary practice located at 10 Saint Patricks Dr , Waldorf MD 20603-4527. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Medstar Medical Group - Southern Maryland Llc can be contacted via phone (301) 373-7900, or through Wagner, Eric R via phone (410) 772-6595.

Contact Information

Primary practice address
10 Saint Patricks Dr Waldorf MD 20603-4527
Phone: (301) 373-7900
Fax: (301) 373-6900
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Eric R
Phone: (410) 772-6595

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X A1234 Maryland

Profile Details

NPI number 1730571118
LBN Legal business name Medstar Medical Group - Southern Maryland Llc
DBA Doing business as
Authorized official Wagner, Eric R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2015
Last updated May 14th, 2024 - about 2 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 1730571118 NPPES
Maryland MEDICAID 80071330

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