South Mountain Family Practice Llc in Boonsboro - Clinic/center
South Mountain Family Practice Llc - NPI 1487844593
South Mountain Family Practice Llc is a Clinic/center in Boonsboro, Maryland. South Mountain Family Practice Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for South Mountain Family Practice Llc is 1487844593. The last update date is 2011-06-29.
South Mountain Family Practice Llc's current location address is 9 Saint Paul St, Boonsboro, Maryland. You can contact this provider via phone number 3014320623 and fax number 3014320624. The mailing address for South Mountain Family Practice Llc is 9 Saint Paul St, Boonsboro, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Mountain Family Practice Llc |
|---|---|
| Address | 9 Saint Paul St, Boonsboro, Maryland |
| Phone Number | 3014320623 |
| Fax Number | 3014320624 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bodenheimer F William |
| Credentials | MD |
| Telephone Number | 3014320623 |
NPI Number Detail
| NPI Number | 1487844593 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2011-06-29 |
Provider Mailing Address Detail
| Address | 9 Saint Paul St |
|---|---|
| City | Boonsboro |
| State | Maryland (MD) |
| Post Code | 217131334 |
| Phone Number | 3014320623 |
| Fax Number | 3014320624 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | D0056826 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 864001700 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to South Mountain Family Practice Llc by the Centers for Medicare & Medicaid Services (CMS)?
The South Mountain Family Practice Llc has been assigned the NPI (National Provider Identifier) 1487844593. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of South Mountain Family Practice Llc?
The South Mountain Family Practice Llc is physically situated at 9 Saint Paul St, in the city of Boonsboro, state of MD, with the postal code 217131334.
What is the area of specialization for South Mountain Family Practice Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Mountain Family Practice Llc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the South Mountain Family Practice Llc receive its 1487844593 assignment from the Centers for Medicare & Medicaid Services?
The South Mountain Family Practice Llc was assigned its 1487844593 by the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the South Mountain Family Practice Llc's details last updated?
The information pertaining to the South Mountain Family Practice Llc, including its address, specialty, and other details, was most recently updated on 2011-06-29.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN