# MONOCACY HEALTH PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONOCACY HEALTH PARTNERS LLC
- **Other names:** Union Bridge Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619245289
- **Legal business name:** MONOCACY HEALTH PARTNERS LLC
- **Authorized official:** MICHELLE K MAHAN (SR VP AND CFO)
- **Authorized official phone:** (240) 566-3355

## Contact information

- **Practice address:** 104 N MAIN ST, UNION BRIDGE, MD 21791-9102
- **Practice address phone:** (410) 775-2622
- **Practice address fax:** (410) 775-2050
- **Mailing address:** PO BOX 1110, UNION BRIDGE, MD 21791-1110
- **Mailing address phone:** (410) 775-2622
- **Mailing address fax:** (410) 775-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 07/02/2013