COMMUNITY PRIMARY CARE ASSOCIATES L.L.C NPI 1356147524

NPI Information

  • NPI: 1356147524
  • Provider Name: COMMUNITY PRIMARY CARE ASSOCIATES L.L.C
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 21D2328967
  • Address: 110 BAUGHMANS LN STE 206
    FREDERICK, MD
    ZIP 21702
  • Phone: (240) 439-1251

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NPI Details

COMMUNITY PRIMARY CARE ASSOCIATES L.L.C is a primary care clinic center in Frederick, MD. COMMUNITY PRIMARY CARE ASSOCIATES L.L.C NPI is 1356147524. The provider is registered as an organization entity type.

The provider's business location address is:

110 BAUGHMANS LN STE 206
FREDERICK, MD
ZIP 21702-059
Phone: (240) 439-1251
Fax: (307) 459-6733

The provider's authorized official is Judith A Stambaugh .
The authorized official title is Family Nurse Practitioner/ownet and has the following contact phone number (240) 439-1251.

The CLIA number assigned to this NPI record is 21D2328967 - other - np owned office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2025 and was last updated on 4/3/2025.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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