| Total Health Care Inc | |
|
1215 Annapolis Rd Odenton MD 21113-1344 | |
| (410) 383-8300 | |
| (410) 383-3160 |
| Full Name | Total Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 Annapolis Rd, Odenton, Maryland |
| Authorized Official Name and Position | Kevin D Bellamy (CEO) |
| Authorized Official Contact | 4107284090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health Care Inc 1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | Total Health Care Inc 1215 Annapolis Rd Odenton MD 21113-1344 Ph: (410) 383-8300 |
| NPI Number | 1285018226 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 02/13/2018 |
| Medicare PECOS PAC ID | 0446258487 |
|---|---|
| Medicare Enrollment ID | O20160616002340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285018226 | NPI | - | NPPES |
| 211906 | Other | MD | MEDICARE |
| 905611400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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