MEDICARE: HEALTH FIRST URGENT CARE 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	:	1235807991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH FIRST URGENT CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 356
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-0356
Country	:	US
Telephone Number	:	410-206-3839
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 RITCHIE HWY
Second Line	:
City	:	BROOKLYN
State	:	MD
Zip	:	21225-3640
Country	:	US
Telephone Number	:	410-206-3839
Fax Number	:	410-884-5147

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DORIS BEN
Credential	:
Telephone Number	:	410-206-3839

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	09/23/2021

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