Sandstone Primary Care, L.l.c. | |
133 E Main St Frostburg MD 21532-1336 | |
(240) 284-2238 | |
Not Available |
Full Name | Sandstone Primary Care, L.l.c. |
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Speciality | Clinic/Center |
Location | 133 E Main St, Frostburg, Maryland |
Authorized Official Name and Position | Caryn L Amedee (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 2402842238 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sandstone Primary Care, L.l.c. 133 E Main St Frostburg MD 21532-1336 Ph: (240) 284-2238 | Sandstone Primary Care, L.l.c. 133 E Main St Frostburg MD 21532-1336 Ph: (240) 284-2238 |
NPI Number | 1093483455 |
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Provider Enumeration Date | 09/01/2021 |
Last Update Date | 09/01/2021 |
Medicare PECOS PAC ID | 2961808795 |
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Medicare Enrollment ID | O20210902001967 |
Identifier | Type | State | Issuer |
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1093483455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Caryn Amedee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104476274 PECOS PAC ID: 7416380803 Enrollment ID: I20191125001370 |
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