MEDICARE: MNR INDUSTRIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1427596428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MNR INDUSTRIES LLC

Provider Business Mailing Address
First Line	:	1505 E CHURCHVILLE RD
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4742
Country	:	US
Telephone Number	:	410-420-6970
Fax Number	:	410-420-6967

Provider Business Practice Location Address
First Line	:	2006 ROCK SPRING RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2607
Country	:	US
Telephone Number	:	443-708-5062
Fax Number	:	443-708-2244

Authorized Official
Title or Position	:	DIRECTOR, REVENUE CYCLE
Name	:	STEVEN FISHER
Credential	:
Telephone Number	:	410-420-6970

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	06/23/2024

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