| Mountain Laurel Medical Center | |
|
104 Parkview Dr Grantsville MD 21536-1086 | |
| (301) 895-5107 | |
| (833) 448-0361 |
| Full Name | Mountain Laurel Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Parkview Dr, Grantsville, Maryland |
| Authorized Official Name and Position | Brian G Bailey (CEO) |
| Authorized Official Contact | 3015333300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Laurel Medical Center 1027 Memorial Dr Oakland MD 21550-4343 Ph: (301) 533-3300 | Mountain Laurel Medical Center 104 Parkview Dr Grantsville MD 21536-1086 Ph: (301) 895-5107 |
| NPI Number | 1053727065 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 9436152493 |
|---|---|
| Medicare Enrollment ID | O20141030001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053727065 | NPI | - | NPPES |
| 3810007182 | Medicaid | WV | |
| 103007026001 | Medicaid | PA | |
| 410467600 | Medicaid | MD | |
| 7118 | Other | MD | CAREFIRST BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
F Daniel Jackson, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Corporate Dr, Grantsville Medical Center, Grantsville, MD 21536 Phone: 301-895-3922 Fax: 301-895-4167 | |
Specialty Physicians Of Garrett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Corporate Dr, Grantsville, MD 21536 Phone: 301-895-8750 Fax: 301-895-8751 | |
Robin Bissell, M.d, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Miller St, Grantsville, MD 21536 Phone: 301-895-4270 Fax: 301-895-4277 | |
Moonglade Integrative Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233b Chestnut Ridge Rd, Grantsville, MD 21536 Phone: 240-321-2770 | |
F. Daniel Jackson, Md, Pa Dba Affiliated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Corporate Drive, Grantsville Medical Center, Grantsville, MD 21536 Phone: 301-895-3922 Fax: 301-895-4167 |