# OWENSVILLE PRIMARY CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1225110067
- **Other names:** Bay Community Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174019327
- **Legal business name:** 1225110067
- **Authorized official:** CHRISTINA VARGA (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (410) 867-4700

## Contact information

- **Practice address:** 6131 SHADY SIDE RD, SHADY SIDE, MD 20764-9504
- **Practice address phone:** (410) 867-2200
- **Practice address fax:** (410) 867-1261
- **Mailing address:** 134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
- **Mailing address phone:** (410) 867-4700
- **Mailing address fax:** (410) 867-4934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | LC0431 | MD | — |
| 207Q00000X | Family Medicine Physician | H78924 | MD | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | D0038563 | MD | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | H0076407 | MD | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 363A00000X | Physician Assistant | C0003844 | MD | — |
| 363LP2300X | Primary Care Nurse Practitioner | R124971 | MD | — |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 09/02/2025