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2288 Blue Water Blvd Ste 440 Odenton MD 21113-3312 | |
(410) 383-8300 | |
(410) 383-3160 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2288 Blue Water Blvd Ste 440, Odenton, Maryland |
Authorized Official Name and Position | Kevin Daniel Bellamy (CEO) |
Authorized Official Contact | 4107355265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1501 Division St Baltimore MD 21217-3121 Ph: (410) 383-8300 | 2288 Blue Water Blvd Ste 440 Odenton MD 21113-3312 Ph: (410) 383-8300 |
NPI Number | 1881439958 |
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Provider Enumeration Date | 06/28/2024 |
Last Update Date | 10/17/2024 |
Medicare PECOS PAC ID | 0446258487 |
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Medicare Enrollment ID | O20241118000412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881439958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Anne Arundel Gastroenterology Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Annapolis Rd Ste 201, Odenton, MD 21113 Phone: 410-224-2116 | |
Total Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1215 Annapolis Rd, Odenton, MD 21113 Phone: 410-383-8300 Fax: 410-383-3160 | |
Luminis Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Annapolis Rd Ste 130, Odenton, MD 21113 Phone: 443-481-1000 Fax: 443-481-4151 | |