| Citycare Family Practice & Urgent Care Services Inc | |
|
260 Gateway Dr Ste 17-18b Bel Air MD 21014-4268 | |
| (443) 787-4228 | |
| (443) 787-4263 |
| Full Name | Citycare Family Practice & Urgent Care Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 Gateway Dr Ste 17-18b, Bel Air, Maryland |
| Authorized Official Name and Position | Oladimeji Adedire (ADMINISTRATOR) |
| Authorized Official Contact | 4103839976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citycare Family Practice & Urgent Care Services Inc 260 Gateway Dr Ste 17-18b Bel Air MD 21014-4268 Ph: (443) 787-4228 | Citycare Family Practice & Urgent Care Services Inc 260 Gateway Dr Ste 17-18b Bel Air MD 21014-4268 Ph: (443) 787-4228 |
| NPI Number | 1083142780 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 7517225956 |
|---|---|
| Medicare Enrollment ID | O20171213001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083142780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Bosede Adedire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477925030 PECOS PAC ID: 9335407774 Enrollment ID: I20171213001355 |
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