First Care Family Clinic Llc | |
3237a Corporate Ct Ellicott City MD 21042-2247 | |
(410) 680-8354 | |
(443) 592-9057 |
Full Name | First Care Family Clinic Llc |
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Speciality | Clinic/Center |
Location | 3237a Corporate Ct, Ellicott City, Maryland |
Authorized Official Name and Position | Adetola Oyekan (PROVIDER) |
Authorized Official Contact | 2406107004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Care Family Clinic Llc 3237a Corporate Ct Ellicott City MD 21042-2247 Ph: (410) 680-8354 | First Care Family Clinic Llc 3237a Corporate Ct Ellicott City MD 21042-2247 Ph: (410) 680-8354 |
NPI Number | 1437825270 |
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Provider Enumeration Date | 08/20/2021 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 3870937725 |
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Medicare Enrollment ID | O20240219002158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437825270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Adetola O Oyekan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255962510 PECOS PAC ID: 6901290444 Enrollment ID: I20220228001871 |
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