Solace Family Healthcare | |
925 Bishop Walsh Rd Ste 7 Cumberland MD 21502-1845 | |
(304) 698-7030 | |
Not Available |
Full Name | Solace Family Healthcare |
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Speciality | Family Medicine |
Location | 925 Bishop Walsh Rd Ste 7, Cumberland, Maryland |
Authorized Official Name and Position | Tracy Underwood (OWNER) |
Authorized Official Contact | 3046987030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Solace Family Healthcare 39 Sampson Rock Rd Frostburg MD 21532-4112 Ph: (303) 046-9870 | Solace Family Healthcare 925 Bishop Walsh Rd Ste 7 Cumberland MD 21502-1845 Ph: (304) 698-7030 |
NPI Number | 1902579477 |
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Provider Enumeration Date | 07/29/2021 |
Last Update Date | 07/30/2021 |
Medicare PECOS PAC ID | 8123424348 |
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Medicare Enrollment ID | O20210913002881 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902579477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tracy A Underwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174929004 PECOS PAC ID: 2466770268 Enrollment ID: I20210913003151 |
Provider Name | Amy Malone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447957360 PECOS PAC ID: 7517315807 Enrollment ID: I20231127003439 |
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