Prime Md Llc in Clarksville - Community Based Residential Treatment Facility, Mental Illness
Prime Md Llc - NPI 1558540161
Prime Md Llc is a Community Based Residential Treatment Facility, Mental Illness in Clarksville, Maryland. Prime Md Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Prime Md Llc is 1558540161. The last update date is 2010-09-16.
Prime Md Llc's current location address is 5005 Signal Bell Ln, Clarksville, Maryland. You can contact this provider via phone number 4435358500 and fax number 4105311446. The mailing address for Prime Md Llc is 5005 Signal Bell Ln, Clarksville, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Prime Md Llc |
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Address | 5005 Signal Bell Ln, Clarksville, Maryland |
Phone Number | 4435358500 |
Fax Number | 4105311446 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PHYS |
---|---|
Authorized Official Name | Abdo Khalil Suzan |
Credentials | MD |
Telephone Number | 4435358500 |
NPI Number Detail
NPI Number | 1558540161 |
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Provider Enumeration Date | 2007-10-31 |
Last Updated Date | 2010-09-16 |
Provider Mailing Address Detail
Address | 5005 Signal Bell Ln |
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City | Clarksville |
State | Maryland (MD) |
Post Code | 210292606 |
Phone Number | 4435358500 |
Fax Number | 4105311446 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | D50870 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
F698 | DC | BSDC |
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What is the unique 10-digit identification code issued to Prime Md Llc by the Centers for Medicare & Medicaid Services?
The Prime Md Llc has been assigned the NPI (National Provider Identifier) 1558540161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Prime Md Llc's physical address?
The Prime Md Llc is physically located at 5005 Signal Bell Ln, in the city of Clarksville, MD, with the postal code 210292606.
What is the Prime Md Llc's area of specialization and corresponding taxonomy classification?
The Prime Md Llc's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Prime Md Llc receive its 1558540161 assignment from the Centers for Medicare & Medicaid Services?
The Prime Md Llc was assigned its 1558540161 by the Centers for Medicare & Medicaid Services on 2007-10-31.
When was the information related to Prime Md Llc most recently updated or refreshed?
The details pertaining to the Prime Md Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-16.