Organization
MACH SERVICES
Active
Organization
MACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGARET-ANN CORETTA HALSTEAD (OWNER)
(443) 535-0810
Entity
Organization
Contact information
Practice address
5931 GENTLE CALL, CLARKSVILLE, MD 21029-1233
(410) 235-0699
(443) 535-0968
Mailing address
5931 GENTLE CALL, CLARKSVILLE, MD 21029-1233
(443) 535-0810
(443) 535-0968
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513900700
—
MD
01
—
5442402MG82
CAREFIRST BCBS PROVIDER #
MD
Enumeration date
03/23/2007
Last updated
06/24/2008
Update your record
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