CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC; NPI #1386614832

Contact Information

CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC

216B WASHINGTON HEIGHTS MED CTR
WESTMINSTER, MD 21157-5633

Phone: 410-857-5113
Fax: 410-840-8344
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC

NPI Number 1386614832

LBN Legal business name CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC

Authorized official JEFFREY SNODGRASS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/26/2006

Last updated 08/25/2022 - About 4 years ago

Identifiers

MD	License #	A1245
MD	Medicaid	6013104 00
MD	Other	5624559	AETNA
MD	Other	0865292	AETNA HMO
MD	Other	115559	AMERIGROUP
MD	Other	NE4	BLUE CHOICE
MD	Other	NE4	BLUESHIELD FEDERAL
MD	Other	ZY44	CAREFIRST BCBS SECONDARY
MD	Other	583381-01	CAREFIRST BLUECROSS BLUES
MD	Other	0634649	CIGNA
MD	Other	47928	COVENTRY HEALTHCARE OF DE
MD	Other	57281	JOHNS HOPKINS EHP & PP
MD	Other	250798	MAMSI
MD	Other	68-00074	UNITEDHEALTHCARE

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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