Organization
PLATINUMCARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUE MCLAUGHLIN EDWARDS (CEO)
(717) 451-7518
Entity
Organization
Contact information
Practice address
4061 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(717) 451-7518
(717) 646-8283
Mailing address
930 HOSTETTER RD, HANOVER, PA 17331-7764
(717) 451-7518
(717) 646-8283
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/19/2014
Last updated
07/26/2019
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