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CALVERTHEALTH MEDICAL CENTER INC. NPI 1588808935


NPI Information

NPI: 1588808935
Provider Name: CALVERTHEALTH MEDICAL CENTER, INC.

Doing Business As: CALVERTHEALTH SOLOMONS IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
14090 HG TRUEMAN RD
STE 1400
SOLOMONS, MD
ZIP 20688
Phone: (410) 394-2830
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CALVERTHEALTH MEDICAL CENTER, INC. is a radiology clinic center in Solomons, MD. CALVERTHEALTH MEDICAL CENTER, INC. NPI is 1588808935. The provider is registered as an organization entity type.
The provider Is Doing Business As Calverthealth Solomons Imaging Center.

The provider's business location address is:

14090 HG TRUEMAN RD
STE 1400
SOLOMONS, MD
ZIP 20688-151
Phone: (410) 394-2830
Fax: (410) 394-2835

The provider's authorized official is Dean Teague .
The authorized official title is President/ceo and has the following contact phone number (410) 535-8239.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 1/24/2018.


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
1261QR0200XClinic/CenterRadiology261QR0200XMARYLANDYes

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
1621307300MEDICAIDMARYLAND

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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