Provider Demographics
NPI:1659922730
Name:HEALTH PARTNERS, INC
Entity Type:Organization
Organization Name:HEALTH PARTNERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MULCAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-645-3556
Mailing Address - Street 1:PO BOX 1865
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20604-1865
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4375 PORT TOBACCO RD
Practice Address - Street 2:
Practice Address - City:NANJEMOY
Practice Address - State:MD
Practice Address - Zip Code:20662-3345
Practice Address - Country:US
Practice Address - Phone:301-645-3556
Practice Address - Fax:301-645-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty