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MEDICAL HEALTH GROUP PA NPI 1780654814


NPI Information

NPI: 1780654814
Provider Name: MEDICAL HEALTH GROUP PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1415 S MOUNTAIN RD STE 100
JOPPA, MD
ZIP 21085
Phone: (410) 369-1699
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MEDICAL HEALTH GROUP PA is a general practice in Joppa, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL HEALTH GROUP PA NPI is 1780654814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 S MOUNTAIN RD STE 100
JOPPA, MD
ZIP 21085-236
Phone: (410) 369-1699
Fax: (410) 369-1707

The provider's authorized official is Deborah L Wolcott .
The authorized official title is Practice Administrator and has the following contact phone number (410) 369-1700.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 2/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12977766006OTHERCIGNA
20291801OTHERUNITED HEALTH CARE
3W647OTHERBLUE CHOICE

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

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