Health Partners, Inc. | |
3070 Crain Hwy Waldorf MD 20601-2830 | |
(301) 645-3556 | |
(301) 645-3932 |
Full Name | Health Partners, Inc. |
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Speciality | Clinic/Center |
Location | 3070 Crain Hwy, Waldorf, Maryland |
Authorized Official Name and Position | Christine Marie Mulcahey (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3016453556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Partners, Inc. Po Box 1865 3070 Crain Highway Waldorf MD 20604-1865 Ph: (301) 645-3556 | Health Partners, Inc. 3070 Crain Hwy Waldorf MD 20601-2830 Ph: (301) 645-3556 |
NPI Number | 1649304460 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 09/03/2014 |
Medicare PECOS PAC ID | 1355629148 |
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Medicare Enrollment ID | O20161029000043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649304460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Amanda Decoursey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417552613 PECOS PAC ID: 3274949565 Enrollment ID: I20210311001032 |
Provider Name | Queen K Iji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073124327 PECOS PAC ID: 3375962194 Enrollment ID: I20220223001169 |
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