Department Of Pediatrics

LBN: Southern Maryland Hospital, Inc.
Department Of Pediatrics is an health care organization with primary practice located at 7503 Surratts Rd , Clinton MD 20735-3358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southern Maryland Hospital, Inc. can be contacted via phone (301) 870-7001, or through Stewart, Charles R. via phone (301) 877-4541.

Contact Information

Primary practice address
7503 Surratts Rd Clinton MD 20735-3358
Fax: (301) 870-6697
Website:
Authorized official contact:
Name: Stewart, Charles R.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1407045024
LBN Legal business name Southern Maryland Hospital, Inc.
DBA Doing business as Department Of Pediatrics
Authorized official Stewart, Charles R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2007
Last updated Jan 12th, 2009 - about 17 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 1407045024 NPPES
Maryland MEDICAID 413384600
Maryland Other 4897, CG1279

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