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LUMINIS HEALTH COMMUNITY CLINICS LLC NPI 1073950671


NPI Information

NPI: 1073950671
Provider Name: LUMINIS HEALTH COMMUNITY CLINICS, LLC

Former Legal Business Name: AAMC COMMUNITY CLINICS, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D2017016

Address:
1419 FOREST DR
ANNAPOLIS, MD
ZIP 21403
Phone: (410) 990-0050
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LUMINIS HEALTH COMMUNITY CLINICS, LLC is a family medicine in Annapolis, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LUMINIS HEALTH COMMUNITY CLINICS, LLC NPI is 1073950671. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Aamc Community Clinics, Llc.

The provider's business location address is:

1419 FOREST DR
ANNAPOLIS, MD
ZIP 21403-482
Phone: (410) 990-0050
Fax: (410) 990-0336

The provider's authorized official is Stephen Clarke .
The authorized official title is Vice President and has the following contact phone number (443) 481-6549.

The CLIA number assigned to this NPI record is 21D2017016 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 12/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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