Organization
STATCARE GROUP II, PC
Active
Other names
ChoiceOne Urgent Care II
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ANGELA CARTER (CREDENTIALING & PROVIDER ENROLLMENT)
(410) 296-7190
Entity
Organization
Contact information
Practice address
2315 BEL AIR RD, FALLSTON, MD 21047-2740
(410) 296-7190
(410) 296-0344
Mailing address
1400 FRONT AVE, SUITE 300, LUTHERVILLE, MD 21093-5300
(410) 296-7190
(410) 296-0344
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H0062737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0062737
LICENSE NUMBER
MD
Enumeration date
12/23/2015
Last updated
07/07/2020
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