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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1659922730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PARTNERS, INC

Provider Business Mailing Address
First Line	:	PO BOX 1865
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20604-1865
Country	:	US
Telephone Number	:
Fax Number	:

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	:	DIRECTOR
Name	:	CHRISIE MARIE MULCAHEY
Credential	:
Telephone Number	:	301-645-3556

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/20/2019

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Directions to “HEALTH PARTNERS, INC ” Practice Location

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