Healthcare Provider Details

I. General information

NPI: 1962972232
Provider Name (Legal Business Name): HARCART HEALTH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4507 STANFORD ST
BETHESDA MD
20815-5205
US

IV. Provider business mailing address

PO BOX 6390
ANNAPOLIS MD
21401-0390
US

V. Phone/Fax

Practice location:
  • Phone: 888-808-6483
  • Fax:
Mailing address:
  • Phone: 443-332-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERT G. GRAW
Title or Position: CEO
Credential:
Phone: 410-798-1705