| Access Carroll, Llc | |
|
10 Distillery Drive Suite 200 Westminster MD 21157 | |
| (410) 871-1478 | |
| (443) 952-7588 |
| Full Name | Access Carroll, Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 10 Distillery Drive, Westminster, Maryland |
| Authorized Official Name and Position | Tammy Black (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4108713218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Carroll, Llc 10 Distillery Drive Suite 200 Westminster MD 21157 Ph: (410) 871-1478 | Access Carroll, Llc 10 Distillery Drive Suite 200 Westminster MD 21157 Ph: (410) 871-1478 |
| NPI Number | 1982146353 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982146353 | NPI | - | NPPES |
| 4226216 00 | Medicaid | MD | |
| 1891113221 | Other | MD | EMPLOYER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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