MEDICARE: DIMENSIONS HEALTH CORPORATION

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225161821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIMENSIONS HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	3601 TAYLOR ST
Second Line	:
City	:	BRENTWOOD
State	:	MD
Zip	:	20722-1300
Country	:	US
Telephone Number	:	301-927-4987
Fax Number	:	301-864-9460

Provider Business Practice Location Address
First Line	:	3601 TAYLOR ST
Second Line	:
City	:	BRENTWOOD
State	:	MD
Zip	:	20722-1300
Country	:	US
Telephone Number	:	301-927-4987
Fax Number	:	301-864-9460

Authorized Official
Title or Position	:	V.P.
Name	:	MR. STEWART SEITZ
Credential	:
Telephone Number	:	301-618-2029

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	08/07/2008

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Directions to “DIMENSIONS HEALTH CORPORATION ” Practice Location

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