| Prime Care Transformation Organization, Llc | |
|
9649 Belair Rd Ste 202 Baltimore MD 21236-1116 | |
| (410) 237-6904 | |
| (410) 237-6912 |
| Full Name | Prime Care Transformation Organization, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9649 Belair Rd Ste 202, Baltimore, Maryland |
| Authorized Official Name and Position | Chaunte Francine Harris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4102376904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Transformation Organization, Llc 9649 Belair Rd Ste 202 Baltimore MD 21236-1116 Ph: (410) 237-6904 | Prime Care Transformation Organization, Llc 9649 Belair Rd Ste 202 Baltimore MD 21236-1116 Ph: (410) 237-6904 |
| NPI Number | 1871280941 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Medicare PECOS PAC ID | 3274991120 |
|---|---|
| Medicare Enrollment ID | O20230624000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871280941 | NPI | - | NPPES |
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