Organization
CIVISTA MEDICAL CENTER, INC.
Active
Organization
CIVISTA MEDICAL CENTER, INC.
Active
Other names
University of Maryland Charles Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ZANGER (CFO)
(301) 609-5163
Entity
Organization
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4000
(301) 609-4411
Mailing address
PO BOX 1070, LA PLATA, MD 20646-1070
(301) 609-5163
(301) 934-0053
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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