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CORE CLINICAL CARE NPI 1780072017


NPI Information

NPI: 1780072017
Provider Name: CORE CLINICAL CARE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 21D2096742

Address:
404C N. FRUITLAND BLVD.
SALISBURY, MD
ZIP 21801
Phone: (410) 749-8401
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CORE CLINICAL CARE is a clinic center in Salisbury, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CORE CLINICAL CARE NPI is 1780072017. The provider is registered as an organization entity type.

The provider's business location address is:

404C N. FRUITLAND BLVD.
SALISBURY, MD
ZIP 21801
Phone: (410) 749-8401
Fax: (410) 860-1155

The provider's authorized official is Jeff Sherr .
The authorized official title is President and has the following contact phone number (410) 749-8401.

The CLIA number assigned to this NPI record is 21D2096742 - other - diabetes ctr of excellenc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2015 and was last updated on 1/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.