| Western County Family Medical Center | |
|
4375 Port Tobacco Rd Nanjemoy MD 20662-3345 | |
| (301) 609-6906 | |
| Not Available |
| Full Name | Western County Family Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 4375 Port Tobacco Rd, Nanjemoy, Maryland |
| Authorized Official Name and Position | Karen L Murphy (DIRECTOR OF ADMINSTRATION) |
| Authorized Official Contact | 3016096906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western County Family Medical Center Po Box 1050 White Plains MD 20695-1050 Ph: (301) 609-6906 | Western County Family Medical Center 4375 Port Tobacco Rd Nanjemoy MD 20662-3345 Ph: (301) 609-6906 |
| NPI Number | 1659702215 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659702215 | NPI | - | NPPES |
| 420862500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4375 Port Tobacco Rd, Nanjemoy, MD 20662 Phone: 301-645-3556 Fax: 301-645-3932 |