| Blue Spring Wellness Center Llc | |
|
807 East Baltimore St, Unit 1a, Baltimore MD 21202-5388 | |
| (410) 456-5812 | |
| Not Available |
| Full Name | Blue Spring Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 807 East Baltimore St, Unit 1a,, Baltimore, Maryland |
| Authorized Official Name and Position | Hotenesia Njoroge (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4104565812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Spring Wellness Center Llc 8 Hallsdale Ct Rosedale MD 21237-5009 Ph: (410) 456-5812 | Blue Spring Wellness Center Llc 807 East Baltimore St, Unit 1a, Baltimore MD 21202-5388 Ph: (410) 456-5812 |
| NPI Number | 1497349997 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Medicare PECOS PAC ID | 7517375744 |
|---|---|
| Medicare Enrollment ID | O20210428000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497349997 | NPI | - | NPPES |
| Provider Name | Hotenesia Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558683 PECOS PAC ID: 4880025287 Enrollment ID: I20200520000123 |
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