| Health First Medical Care Llc | |
|
9650 Santiago Rd Ste 6 Columbia MD 21045-3960 | |
| (410) 992-7005 | |
| Not Available |
| Full Name | Health First Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9650 Santiago Rd Ste 6, Columbia, Maryland |
| Authorized Official Name and Position | Maggie Funk (MANAGER) |
| Authorized Official Contact | 4104697905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health First Medical Care Llc Po Box 6303 Ellicott City MD 21042-0303 Ph: (866) 241-1629 | Health First Medical Care Llc 9650 Santiago Rd Ste 6 Columbia MD 21045-3960 Ph: (410) 992-7005 |
| NPI Number | 1598023194 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 02/06/2020 |
| Medicare PECOS PAC ID | 4486819703 |
|---|---|
| Medicare Enrollment ID | O20120711000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598023194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Shakunmala Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437255338 PECOS PAC ID: 2062467186 Enrollment ID: I20050322000170 |
| Provider Name | Melaine M Letzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639229370 PECOS PAC ID: 8123274214 Enrollment ID: I20120806000258 |
| Provider Name | Dawn D Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396072138 PECOS PAC ID: 8022244045 Enrollment ID: I20131122000296 |
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