| Chimark Healthcare Services Llc | |
|
3732 Seneca Garden Rd Middle River MD 21220-7517 | |
| (443) 743-5998 | |
| Not Available |
| Full Name | Chimark Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3732 Seneca Garden Rd, Middle River, Maryland |
| Authorized Official Name and Position | Uzoma Chioma (CEO) |
| Authorized Official Contact | 4437435998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chimark Healthcare Services Llc 3732 Seneca Garden Rd Middle River MD 21220-7517 Ph: (443) 743-5998 | Chimark Healthcare Services Llc 3732 Seneca Garden Rd Middle River MD 21220-7517 Ph: (443) 743-5998 |
| NPI Number | 1326796970 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 9739569617 |
|---|---|
| Medicare Enrollment ID | O20220708003612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326796970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chioma C Uzoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164012795 PECOS PAC ID: 0143625251 Enrollment ID: I20210826002333 |
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