Maplewood Medical Care, Inc
Organization Active NPI Primary Care Clinic/Center · Mount Sterling, OH
NPI 1912665449 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1912665449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MAPLEWOOD MEDICAL CARE, INC
- Practice address
- 261 W Main St
Mount Sterling, OH 43143-1254 - Phone
- (740) 869-3235
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Rachael Kemp-Williams, NP-C
- Title
- President
- Phone
- (740) 572-1603
Practitioners 1
-
Rachael Leann Kemp, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2245718 | Maplewood Medical Care Inc | Certificate of waiver | Dec 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211217000671 | OH | Part B Supplier - Clinic/Group Practice | 3173914629 |
Receives reassigned benefits from 1 practitioner Practice locations: Mount Sterling, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
261 W Main St
Mount Sterling, OH 43143-1254
Mailing address
261 W Main St
Mount Sterling, OH 43143-1254
Phone (740) 869-3235
Other providers in Mount Sterling, OH
- Christy L Jenkins
- Quintessence Julien-Cochran
- Rachael Leann Kemp
- Donald R Maple
- Maplewood Clinic Inc.
- Sarah Morrison
- Mt Sterling Eyecare LLC
- Tasha N Neal-Harris
- Daquan D Neal
- Cheyenne Niekamp
All providers in Mount Sterling, OH · Primary Care Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.