Organization
CIVISTA CLINICAL SERVICES LLC
Active
Parent organization
CIVISTA MEDICAL CENTER
Other names
Civista Women's Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIVISTA MEDICAL CENTER
Authorized official
MRS. IVETTE M MONTES DE OCA (PRACTICE MANAGER)
(301) 843-3150
Entity
Organization
Contact information
Practice address
11315 PEMBROOKE SQ STE 111, WALDORF, MD 20603-4806
(301) 843-3150
(301) 843-2560
Mailing address
5 GARRETT AVENUE, PO BOX 1070, LA PLATA, MD 20646-1070
(301) 609-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
D0065304
MD
Other
Enumeration date
05/06/2010
Last updated
12/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us