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SPECIALTY PHYSICIANS OF GARRETT COUNTY LLC NPI 1881361442


NPI Information

NPI: 1881361442
Provider Name: SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
32 CORPORATE DR
GRANTSVILLE, MD
ZIP 21536
Phone: (301) 895-8750
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SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC is a mental health (including community mental health center) clinic center in Grantsville, MD. SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC NPI is 1881361442. The provider is registered as an organization entity type.

The provider's business location address is:

32 CORPORATE DR
GRANTSVILLE, MD
ZIP 21536-259
Phone: (301) 895-8750
Fax: (301) 895-8751

The provider's authorized official is Tracy Lipscomb .
The authorized official title is Svp, Finance & Cfo and has the following contact phone number (301) 533-4171.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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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