| Mclean's Healthcare Llc | |
|
1468 Gesna Dr Suite B Hanover MD 21076-1647 | |
| (301) 395-0188 | |
| Not Available |
| Full Name | Mclean's Healthcare Llc |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 1468 Gesna Dr, Hanover, Maryland |
| Authorized Official Name and Position | Carol P Mclean (NURSE PRACTITIONER) |
| Authorized Official Contact | 3013950188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean's Healthcare Llc 1468 Gesna Dr Suite B Hanover MD 21076-1647 Ph: (301) 395-0188 | Mclean's Healthcare Llc 1468 Gesna Dr Suite B Hanover MD 21076-1647 Ph: (301) 395-0188 |
| NPI Number | 1588936389 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 4183888357 |
|---|---|
| Medicare Enrollment ID | O20120620000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588936389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R131588 (Maryland) | Secondary |
| 314000000X | Skilled Nursing Facility | R131588 (Maryland) | Primary |
| Provider Name | Carol Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598988248 PECOS PAC ID: 5799948451 Enrollment ID: I20120517000177 |
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