Open Minded Health Care, Llc | |
90 Holiday Dr Ste C-1 Solomons MD 20688 | |
(667) 910-8540 | |
(667) 200-4711 |
Full Name | Open Minded Health Care, Llc |
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Speciality | Nurse Practitioner |
Location | 90 Holiday Dr, Solomons, Maryland |
Authorized Official Name and Position | Osaze Ernest Okoro (MEDICAL DIRECTOR / OWNER) |
Authorized Official Contact | 4435578719 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Minded Health Care, Llc 10482 Baltimore Ave Unit 324 Beltsville MD 20705-2321 Ph: (443) 557-8719 | Open Minded Health Care, Llc 90 Holiday Dr Ste C-1 Solomons MD 20688 Ph: (667) 910-8540 |
NPI Number | 1720719164 |
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Provider Enumeration Date | 06/17/2022 |
Last Update Date | 05/10/2023 |
Certification Date | 05/10/2023 |
Medicare PECOS PAC ID | 1052788460 |
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Medicare Enrollment ID | O20221027001525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720719164 | NPI | - | NPPES |
208525900 | Medicaid | MD |
Provider Name | Megan Delora Taylor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376062240 PECOS PAC ID: 6406264548 Enrollment ID: I20210409001215 |
Provider Name | Osaze Ernest Okoro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417471269 PECOS PAC ID: 3870960289 Enrollment ID: I20221027001659 |
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