Provider Demographics
NPI:1063958627
Name:HEALTH PARTNERS, INC
Entity type:Organization
Organization Name:HEALTH PARTNERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MULCAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-645-3556
Mailing Address - Street 1:3070 CRAIN HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2830
Mailing Address - Country:US
Mailing Address - Phone:301-645-3556
Mailing Address - Fax:301-645-3932
Practice Address - Street 1:4375 PORT TOBACCO RD
Practice Address - Street 2:
Practice Address - City:NANJEMOY
Practice Address - State:MD
Practice Address - Zip Code:20662-3345
Practice Address - Country:US
Practice Address - Phone:301-645-3556
Practice Address - Fax:301-645-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406464000Medicaid
MD536680Medicare PIN