SCS LLC NPI 1417179771

NPI Information

NPI: 1417179771
Provider Name: SCS, LLC

Doing Business As: BAY SHORE PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
130 HOSPITAL RD
SUITE 207
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-5959
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SCS, LLC is a primary care clinic center in Prince Frederick, MD. SCS, LLC NPI is 1417179771. The provider is registered as an organization entity type.
The provider Is Doing Business As Bay Shore Pediatrics.

The provider's business location address is:

130 HOSPITAL RD
SUITE 207
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-5959
Fax: (410) 414-4662

The provider's authorized official is Michael A. Skolnick .
The authorized official title is Practice Manager and has the following contact phone number (410) 535-5959.

The CLIA number assigned to this NPI record is 21D1004037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/20/2011.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

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