Tidalhealth Physician Network, Inc.

LBN: Tidalhealth Physician Network, Inc.
Tidalhealth Physician Network, Inc. is an health care organization with primary practice located at 11105 Cathage Rd , Berlin MD 21811-2131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Tidalhealth Physician Network, Inc. can be contacted via phone (410) 912-4934, or through Jester, Denise W via phone (302) 228-1122.

Contact Information

Primary practice address
11105 Cathage Rd Berlin MD 21811-2131
Phone: (410) 912-4934
Fax: (410) 912-5934
Website:
Map and Directions
Authorized official contact:
Name: Jester, Denise W
Phone: (302) 228-1122

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X

Profile Details

NPI number 1811732514
LBN Legal business name Tidalhealth Physician Network, Inc.
DBA Doing business as
Authorized official Jester, Denise W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2024
Last updated Jun 26th, 2024 - about last year

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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