| Continuum Health Aic Inc | |
|
5570 Sterrett Pl Ste 106 Columbia MD 21044-2615 | |
| (800) 665-2850 | |
| (833) 271-9979 |
| Full Name | Continuum Health Aic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5570 Sterrett Pl Ste 106, Columbia, Maryland |
| Authorized Official Name and Position | Christopher Mark Vanraam (COO) |
| Authorized Official Contact | 7573037221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuum Health Aic Inc Po Box 671779 Dallas TX 75267-1779 Ph: (800) 665-2850 | Continuum Health Aic Inc 5570 Sterrett Pl Ste 106 Columbia MD 21044-2615 Ph: (800) 665-2850 |
| NPI Number | 1962263459 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0143626382 |
|---|---|
| Medicare Enrollment ID | O20240313000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962263459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Benjamin I Enav |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083885214 PECOS PAC ID: 0042386989 Enrollment ID: I20240313001119 |
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