Provider Demographics
NPI:1518307701
Name:MS-HC, LLC
Entity Type:Organization
Organization Name:MS-HC, LLC
Other - Org Name:CAMP SPRINGS-MED LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:YALICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-238-0140
Mailing Address - Street 1:9601 PULASKI PARK DR
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1409
Mailing Address - Country:US
Mailing Address - Phone:410-933-5678
Mailing Address - Fax:410-933-3923
Practice Address - Street 1:5801 ALLENTOWN RD
Practice Address - Street 2:SUITE 302
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-4563
Practice Address - Country:US
Practice Address - Phone:301-899-5159
Practice Address - Fax:301-899-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS633Medicare UPIN