ELLICOTT CITY PRIMARY CARE LLC NPI 1720661812

NPI Information

  • NPI: 1720661812
  • Provider Name: ELLICOTT CITY PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 21D2216980
  • Address: 9055 CHEVROLET DR STE 100
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 862-8860

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NPI Details

ELLICOTT CITY PRIMARY CARE LLC is a primary care clinic center in Ellicott City, MD. ELLICOTT CITY PRIMARY CARE LLC NPI is 1720661812. The provider is registered as an organization entity type.

The provider's business location address is:

9055 CHEVROLET DR STE 100
ELLICOTT CITY, MD
ZIP 21042-091
Phone: (410) 862-8860
Fax: (410) 988-5095

The provider's authorized official is Debra Goldman Curtis .
The authorized official title is Physician/owner and has the following contact phone number (410) 862-8860.

The CLIA number assigned to this NPI record is 21D2216980 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 5/5/2021.

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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