Alliance Primary Care | |
104 N Main St Union Bridge MD 21791-9102 | |
(410) 775-2622 | |
(410) 848-5629 |
Full Name | Alliance Primary Care |
---|---|
Speciality | Family Medicine |
Location | 104 N Main St, Union Bridge, Maryland |
Authorized Official Name and Position | Vicky Baugher (OWNER) |
Authorized Official Contact | 4105961720 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alliance Primary Care Po Box 591 Union Bridge MD 21791-0592 Ph: (443) 937-6258 | Alliance Primary Care 104 N Main St Union Bridge MD 21791-9102 Ph: (410) 775-2622 |
NPI Number | 1184105298 |
---|---|
Provider Enumeration Date | 08/27/2018 |
Last Update Date | 12/06/2018 |
Medicare PECOS PAC ID | 7113271347 |
---|---|
Medicare Enrollment ID | O20181107000096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184105298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R139731 (Maryland) | Primary |
Provider Name | Vicky T Baugher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871800409 PECOS PAC ID: 8820285463 Enrollment ID: I20101209000115 |
Union Bridge Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Main St, Union Bridge, MD 21791 Phone: 410-775-2622 Fax: 410-775-2050 |