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200 Seymour Ave St. Michael's MD 21663-2932 | |
(410) 745-2882 | |
(410) 479-1714 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 200 Seymour Ave, St. Michael's, Maryland |
Authorized Official Name and Position | Sara Rich (CEO) |
Authorized Official Contact | 4104794306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Seymour Ave St Michaels MD 21663-2932 Ph: (410) 745-2882 | 200 Seymour Ave St. Michael's MD 21663-2932 Ph: (410) 745-2882 |
NPI Number | 1841501327 |
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Provider Enumeration Date | 06/29/2010 |
Last Update Date | 10/30/2020 |
Identifier | Type | State | Issuer |
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1841501327 | NPI | - | NPPES |
784381000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |