NPIMap

Organization Active NPI

Health Partners, Inc.

  • Primary Care Clinic/Center
  • Waldorf, MD
National Provider Identifier
1649304460
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTH PARTNERS, INC.
Practice address
3070 Crain Hwy
Waldorf, MD 20601-2830
Phone
(301) 645-3556
Fax
(301) 645-3932
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Christine Marie Mulcahey
Title
Executive Director
Phone
(301) 645-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3070 Crain Hwy
Waldorf, MD 20601-2830

Mailing address

PO Box 1865
3070 Crain Highway
Waldorf, MD 20604-1865
Phone (301) 645-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161029000043 MD Part B Supplier - Clinic/Group Practice 1355629148 Receives reassigned benefits from 2 practitioners
Practice locations: Nanjemoy, MD; Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Health Partners Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3070 Crain Hwy
Waldorf, MD 20601
Phone (301) 645-3556

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1649304460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1865",
            "address_2": "3070 CRAIN HIGHWAY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206041865",
            "telephone_number": "301-645-3556",
            "fax_number": "301-645-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012830",
            "telephone_number": "301-645-3556",
            "fax_number": "301-645-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "MULCAHEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-645-3556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.