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Organization

CALVERTHEALTH MEDICAL GROUP, LLC

Active
Parent organization
CALVERT HEALTH SYSTEM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC.
Authorized official
CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization

Contact information

Practice address
130 HOSPITAL RD STE 102, PRINCE FREDERICK, MD 20678-4029
(410) 846-8800
(410) 469-1724
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/29/2024
Last updated
11/29/2024
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