Healthcare Provider Details

I. General information

NPI: 1245465376
Provider Name (Legal Business Name): HEALTH MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14302 BARTON BLVD SW
CUMBERLAND MD
21502-5825
US

IV. Provider business mailing address

14302 BARTON BLVD SW
CUMBERLAND MD
21502-5825
US

V. Phone/Fax

Practice location:
  • Phone: 301-729-3278
  • Fax: 301-729-8702
Mailing address:
  • Phone: 301-729-3278
  • Fax: 301-729-8702

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: DR. RONNA MONSEAU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-729-3278