| Integrace Health Inc | |
|
7200 3rd Ave Sykesville MD 21784-5201 | |
| (410) 795-8808 | |
| Not Available |
| Full Name | Integrace Health Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 7200 3rd Ave, Sykesville, Maryland |
| Authorized Official Name and Position | Jayson R. Luckenbaugh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4109702071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrace Health Inc Po Box 1000 7200 Third Ave Sykesville MD 21784-1000 Ph: (410) 795-8808 | Integrace Health Inc 7200 3rd Ave Sykesville MD 21784-5201 Ph: (410) 795-8808 |
| NPI Number | 1548284086 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548284086 | NPI | - | NPPES |
| 126651900 | Medicaid | MD | |
| 040246 | Other | MD DHMH OFFICE OF HTH CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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