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Contact Information

MEDSTAR HEALTH INFUSION, INC.
7379 WASHINGTON BLVD
ELKRIDGE, MD21075-6329
 Phone: 410-540-4450
 Fax: 410-540-4430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion

251F00000X
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MEDSTAR HEALTH INFUSION, INC.

NPI Number 1215041983
LBN Legal business name MEDSTAR HEALTH INFUSION, INC.
Authorized official CARMEN LOTT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 04/29/2009 - About 17 years ago
Identifiers
MD License # PW0199
DC Medicaid 028880900
MD Medicaid 051003300
MD Medicaid 953901800
VA Medicaid 008508003
VA Medicaid 009105352
Other 2456341 AETNA HMO
Other 4540209 AETNA PPO
Other 58886 AMERICAID
Other 1033 BCBS OF DC
Other 62062201 BCBS OF MARYLAND
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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