Organization
CIVISTA CLINICAL SERVICES, L.L.C.
Active
Parent organization
CIVISTA CARE PARTNERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIVISTA CARE PARTNERS, INC.
Authorized official
GARY HERBEK (SVP COO)
(301) 609-4141
Entity
Organization
Contact information
Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
Mailing address
PO BOX 1070, 701 EAST CHARLES STREET, LA PLATA, MD 20646-1070
(301) 609-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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