Organization
MAINLINE URGENT CARE MEDICAL GROUP P.C
Active
Other names
ExpressCare of Red Lion, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE NATHANIEL REID M.D. (CEO/MD)
(410) 420-6970
Entity
Organization
Contact information
Practice address
3193 CAPE HORN RD, RED LION, PA 17356-8810
(610) 482-4949
Mailing address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD442240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102867981-0002
—
PA
Enumeration date
03/01/2016
Last updated
01/10/2017
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