MATCLINIC PHYSICIANS PRACTICE GROUP LLC


Address: 601 7th St Ste 304, Laurel, MD 20707-4011
Phone: 4102200780

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI# 1750930863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750930863
Entity Type Organization
Organization Name MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Practice Address 601 7th St Ste 304
Laurel
MD 20707-4011
Mailing Address 503 Albemarle St
Baltimore
MD 21202-4304
Practice Telephone 4102200780
Practice Fax Number 4108620150
Mailing Telephone 4102200780
Mailing Fax Number 4108620150
Enumeration Date 2019-09-11
Last Update Date 2020-08-07
Authorized Official Name DANIEL RECK (MANAGER)
Authorized Official Telephone 4102200780
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD 265074603 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548825813 Matclinic Physicians Practice Group LLC Counselor 40 York Rd Ste 201, Towson, MD 21204-5243 2019-05-02
1356801534 Matclinic Physicians Practice Group LLC Internal Medicine 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 2019-03-22
1194217091 Matclinic Physicians Practice Group LLC Counselor 601 7th St Ste 304, Laurel, MD 20707-4011 2018-06-06
1699385336 Matclinic Physicians Practice Group LLC Clinic/Center 40 York Rd Ste 201, Towson, MD 21204-5243 2020-08-07
1417567157 Matclinic Physicians Practice Group LLC Clinic/Center 601 7th St Ste 304, Laurel, MD 20707-4011 2020-08-07
1336759075 Matclinic Physicians Practice Group LLC Clinic/Center 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 2020-08-07
1316557051 Matclinic Physicians Practice Group LLC Clinic/Center 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 2020-08-07
1841840808 Matclinic Physicians Practice Group LLC Community/Behavioral Health 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 2019-09-12
1669022620 Matclinic Physicians Practice Group LLC Community/Behavioral Health 40 York Rd Ste 201, Towson, MD 21204-5243 2019-09-12
1821647934 Matclinic Physicians Practice Group LLC Clinic/Center 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 2019-09-11

Office Location

Street Address 601 7TH ST STE 304
City LAUREL
State MD
Zip Code 20707-4011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194217091 Matclinic Physicians Practice Group LLC Counselor 601 7th St Ste 304, Laurel, MD 20707-4011 2018-06-06
1417567157 Matclinic Physicians Practice Group LLC Clinic/Center 601 7th St Ste 304, Laurel, MD 20707-4011 2020-08-07
1447809462 Matclinic Physicians Practice Group LLC Community/Behavioral Health 601 7th St Ste 304, Laurel, MD 20707-4011 2019-09-11
1265084727 Matclinic Physicians Practice Group LLC Counselor 601 7th St Ste 304, Laurel, MD 20707-4011 2019-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376157156 Mini'imah Wilson Social Worker 15041 Cherrywood Dr, Laurel, MD 20707 2020-08-31
1548893985 Ernest Freeman Clinic/Center 367 Main St., Laurel, Laurel, MD 20707 2020-02-13
1538701859 Family Health and Wellness Clinic LLC Clinic/Center 324 Main St. #523, Laurel, MD 20707 2019-10-09
1467018226 Leena Daniel Nurse Practitioner 13 C Street, Suite D, Laurel, MD 20707 2019-05-16
1538723143 Florence Okojie Nurse Practitioner 13 C St Ste G, Laurel, MD 20707 2019-04-29
1487148631 Munsha Sidhu Chadha Dentist 595 Main St Ste 237, Laurel, MD 20707 2018-06-20
1568953370 Carleen Graham Schwimmer Clinical Neuropsychologist Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 2018-05-29
1043709637 Bk Behavioral Health Center Behavior Technician 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 2018-05-09
1053800839 Bk Behaviorial Health Center Substance Abuse Rehabilitation Facility 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 2018-05-07
1316435795 Laurel Pharmacy II LLC Pharmacy 14402 Baltimore Ave, Laurel, MD 20707 2018-05-01
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700218997 Maryland Treatment Centers, Inc. Clinic/Center 13 C St Ste C, Laurel, MD 20707-4152 2013-07-30
1275875981 New Horizons Health Services Inc Clinic/Center 605 Main St, Laurel, MD 20707-4065 2013-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043817075 Maryland Community Health Initiatives, Inc. Clinic/Center 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 2020-10-02
1851998892 Maryland Community Health Initiatives, Inc. Clinic/Center 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 2020-10-02
1801403324 Maryland Community Health Initiatives, Inc. Clinic/Center 328 E 26th St, Baltimore, MD 21218-4702 2020-09-29
1275148975 Hel Recovery Center Clinic/Center 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 2020-09-10
1497365654 Inspiring Change Mental Health Services, LLC. Clinic/Center 4654 York Rd Ste 1, Baltimore, MD 21212-4726 2020-08-03
1174132518 Sabinas House LLC Clinic/Center 3103 Mareco Ave, Baltimore, MD 21213-1619 2020-07-30
1134738909 Sabinas House LLC Clinic/Center 2224 Dukeland St, Baltimore, MD 21216-2812 2020-07-28
1881203792 Sabinas House LLC Clinic/Center 3325 Shannon Dr, Baltimore, MD 21213-1823 2020-07-27
1356950265 Sabinas House LLC Clinic/Center 616 Wildwood Pkwy, Baltimore, MD 21229-1810 2020-07-27
1598374407 Sabinas House LLC Clinic/Center 605 Springfield Ave, Baltimore, MD 21212-4832 2020-07-27
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Competitor

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City LAUREL
Zip Code 20707

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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