POTOMAC HEALTHCARE ALLIANCE NPI 1164775979

NPI Information

NPI: 1164775979
Provider Name: POTOMAC HEALTHCARE ALLIANCE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
198 THOMAS JOHNSON DR STE 5
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5390
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POTOMAC HEALTHCARE ALLIANCE is a pain clinic center in Frederick, MD. POTOMAC HEALTHCARE ALLIANCE NPI is 1164775979. The provider is registered as an organization entity type.

The provider's business location address is:

198 THOMAS JOHNSON DR STE 5
FREDERICK, MD
ZIP 21702-449
Phone: (301) 624-5390

The provider's authorized official is Patrick Eskew .
The authorized official title is Ceo and has the following contact phone number (301) 642-5390.

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/17/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	10554640	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1477595916	OTHER	MARYLAND	NPI
2	1720248198	OTHER	MARYLAND	NPI
3	500020505	MEDICARE PIN	MARYLAND
4	1215171863	OTHER	MARYLAND	NPI

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

NPI Synchronization or Removal

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