Provider Demographics
NPI:1952576613
Name:HEALTHLINK PRIMARY CARE CLINIC
Entity Type:Organization
Organization Name:HEALTHLINK PRIMARY CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP/ CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:443-643-3340
Mailing Address - Street 1:2027 PULASKI HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2143
Mailing Address - Country:US
Mailing Address - Phone:443-643-4258
Mailing Address - Fax:443-843-5010
Practice Address - Street 1:2027 PULASKI HWY STE 206
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2143
Practice Address - Country:US
Practice Address - Phone:443-643-4258
Practice Address - Fax:443-843-5010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPPER CHESAPEAKE HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-24
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center