CALVERTHEALTH URGENT CARE PRINCE FREDERICK – NPI #1598195299
Clinic/Center

CALVERTHEALTH URGENT CARE PRINCE FREDERICK is an AHC clinic located in PRINCE FREDERICK, MD. NPPES has assigned the NPI number 1598195299 to CALVERTHEALTH URGENT CARE PRINCE FREDERICK on November 15, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALVERTHEALTH URGENT CARE PRINCE FREDERICK” is a dba name, the actual legal business name for this organization is CALVERTHEALTH MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 8 years ago on Jan 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALVERTHEALTH URGENT CARE PRINCE FREDERICK below.

NPI Profile for
CALVERTHEALTH MEDICAL CENTER, INC.

NPI Number
1598195299
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALVERTHEALTH MEDICAL CENTER, INC.
Doing Business As (dba): CALVERTHEALTH URGENT CARE PRINCE FREDERICK
Primary location
130 HOSPITAL RD
SUITE 102
PRINCE FREDERICK, MD 20678-4015
Phone: (410) 535-8911 Fax: (410) 535-8912
Mailing address
100 HOSPITAL RD
PRINCE FREDERICK, MD 20678-4017
Phone: (410) 414-4791 Fax: (410) 414-4558
Organization Subpart
Yes - CALVERTHEALTH URGENT CARE PRINCE FREDERICK is subpart of another organization.
Authorized Official
DEAN TEAGUE
PRESIDENT/CEO
Phone: (410) 535-8239
Updated
Identifiers

Identifiers for CALVERTHEALTH URGENT CARE PRINCE FREDERICK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD422079000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
MD 04-001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.