MAGNOLIA URGENT AND PRIMARY CARE, LLC; NPI #1457013708

Contact Information

MAGNOLIA URGENT AND PRIMARY CARE, LLC

121 EAST FIRST AVENUE
LOCH LYNN, MD 21550

Phone: 301-616-3427
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for MAGNOLIA URGENT AND PRIMARY CARE, LLC

NPI Number	`1457013708`
LBN Legal business name	MAGNOLIA URGENT AND PRIMARY CARE, LLC
Authorized official	FAITH RODEHEAVER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/13/2021
Last updated	10/13/2021 - About 5 years ago
Identifiers	n/a

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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