Organization
OWENSVILLE PRIMARY CARE,INC
Active
Parent organization
1225110067
Organization subpart
Yes
Provider details
NPI number
Legal business name
1225110067
Authorized official
CHRISTINA VARGA (REVENUE CYCLE MANAGER)
(410) 867-4700
Entity
Organization
Contact information
Practice address
5408 SOUTHERN MARYLAND BLVD UNIT 7, LOTHIAN, MD 20711-2602
(410) 867-4700
(410) 867-4934
Mailing address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
(410) 867-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/21/2021
Last updated
01/02/2025
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