Organization
AMNA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FORBES (A/R MANAGER)
(410) 398-0433
Entity
Organization
Contact information
Practice address
300 E PULASKI HWY, ELKTON, MD 21921-6737
(410) 398-0433
(443) 245-3737
Mailing address
PO BOX 1040, ELKTON, MD 21922-1040
(410) 398-0433
(443) 245-3737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2055864
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188001
MEDICARE PTAN
MD
05
—
55412600
—
MD
Enumeration date
09/11/2013
Last updated
09/11/2013
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