ACCESS CARROLL, LLC


Address: 10 Distillery Drive, Suite 200, Westminster, MD 21157
Phone: 4108711478

ACCESS CARROLL, LLC (NPI# 1982146353) 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) 1982146353
Entity Type Organization
Organization Name ACCESS CARROLL, LLC
Practice Address 10 Distillery Drive
Suite 200
Westminster
MD 21157
Practice Telephone 4108711478
Practice Fax Number 4439527588
Mailing Telephone 4108711478
Mailing Fax Number 4439527588
Enumeration Date 2016-11-16
Last Update Date 2016-11-16
Authorized Official Name TAMMY BLACK (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4108713218
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD EMPLOYER NPI 1891113221 01
MD 4226216 00 05

Office Location

Street Address 10 DISTILLERY DRIVE
SUITE 200
City WESTMINSTER
State MD
Zip Code 21157

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013523083 Krista Stanzione Counselor 10 Distillery Drive, Ste 200, Westminster, MD 21157 2020-09-16
1487263893 Jordan Butler Counselor Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 2020-07-31
1558920991 Ashton Nicole Burnham Social Worker 10 Distillery Dr Suite 200, Westminster, MD 21157 2019-06-10
1265903173 Kathy Denise Omara Speech-Language Pathologist 125 North Court Street, Westminster, MD 21157 2018-12-17
1013419837 Ericka M Walters Social Worker 77-81 E. Main Street, Suite 406, Westminster, MD 21157 2018-03-07
1619327293 Bh Brightview Westminster Ridge Opco, LLC Alzheimer Center (Dementia Center) 505 High Acre Drive, Westminster, MD 21157 2016-06-15
1710362926 Laura Coulter Social Worker 280 E Main St Ste 202, Westminster, MD 21157 2015-07-29
1205213436 Carroll County Health Department Public Health or Welfare 290 S. Center Street, Westminster, MD 21157 2015-04-27
1972990489 Ivy Smink Registered Nurse 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 2015-04-22
1669878427 Julie Smith Psychologist 200 Memorial Drive, Westminster, MD 21157 2014-11-06
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1861672727 Struong Md Corp. Clinic/Center 15568 Brookhurst St, Suite 368, Westminster, CA 92683-7572 2007-11-08

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Competitor

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City WESTMINSTER
Zip Code 21157

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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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