| |
560 Riverside Dr Suite A-204 Salisbury MD 21801-4700 | |
(410) 749-2525 | |
(410) 548-5773 |
Full Name | |
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Speciality | Clinic/Center |
Location | 560 Riverside Dr, Salisbury, Maryland |
Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) |
Authorized Official Contact | 4107491015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015 | 560 Riverside Dr Suite A-204 Salisbury MD 21801-4700 Ph: (410) 749-2525 |
NPI Number | 1548423478 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 3678484300 |
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Medicare Enrollment ID | O20080904000628 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548423478 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 | |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804 Phone: 410-912-6716 | |
Daniel E Makas Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Riverside Dr, Ste 6, Salisbury, MD 21801 Phone: 410-677-3736 Fax: 410-677-0922 | |
A Plus Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 N Zion Rd Ste 107, Salisbury, MD 21801 Phone: 301-326-2997 |