MEDICARE: HEALTH PARTNERS, INC

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	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063958627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PARTNERS, INC

Provider Business Mailing Address
First Line	:	3070 CRAIN HWY
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20601-2830
Country	:	US
Telephone Number	:	301-645-3556
Fax Number	:	301-645-3932

Provider Business Practice Location Address
First Line	:	4375 PORT TOBACCO RD
Second Line	:
City	:	NANJEMOY
State	:	MD
Zip	:	20662-3345
Country	:	US
Telephone Number	:	301-645-3556
Fax Number	:	301-645-3932

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. CHRISTINE MARIE MULCAHEY
Credential	:
Telephone Number	:	301-645-3556

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	01/06/2017

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Directions to “HEALTH PARTNERS, INC ” Practice Location

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