STATCARE GROUP LLC NPI 1891380606

NPI Information

  • NPI: 1891380606
  • Provider Name: STATCARE GROUP LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: PATRIOT URGENT CARE
  • CLIA Number: 21D2213149
  • Address: 1211 LIBERTY RD
    ELDERSBURG, MD
    ZIP 21784
  • Phone: (410) 617-9530

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NPI Details

STATCARE GROUP LLC is an urgent care clinic center in Eldersburg, MD. STATCARE GROUP LLC NPI is 1891380606. The provider is registered as an organization entity type.
The provider Is Doing Business As Patriot Urgent Care.

The provider's business location address is:

1211 LIBERTY RD
ELDERSBURG, MD
ZIP 21784-927
Phone: (410) 617-9530

The provider's authorized official is Shandi Faulk .
The authorized official title is Director Of Billing and has the following contact phone number (770) 461-3776.

The CLIA number assigned to this NPI record is 21D2213149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 3/3/2021.

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
1261QU0200XClinic/CenterUrgent 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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