Organization
STATCARE GROUP IV, PC
Active
Other names
ChoiceOne Urgent Care IV
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT THEODORE BURGER D.O. (CHIEF MEDICAL OFFICER)
(410) 296-7190
Entity
Organization
Contact information
Practice address
500 RITCHIE HWY, SUITE B, SEVERNA PARK, MD 21146-2954
(410) 296-7190
(410) 296-0344
Mailing address
1400 FRONT AVE, SUITE 300, LUTHERVILLE, MD 21093-5300
(410) 296-7190
(443) 991-7768
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
HOO62737
MD
261QU0200X
Urgent Care Clinic/Center
Primary
H0062737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOO62737
MEDICAL LICENSE
MD
Enumeration date
10/21/2016
Last updated
12/27/2018
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