| Community Primary Care Associates L.l.c | |
|
110 Baughmans Ln Ste 206 Frederick MD 21702-4059 | |
| (240) 439-1251 | |
| (307) 459-6733 |
| Full Name | Community Primary Care Associates L.l.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Baughmans Ln Ste 206, Frederick, Maryland |
| Authorized Official Name and Position | Judith A Stambaugh (FAMILY NURSE PRACTITIONER/OWNET) |
| Authorized Official Contact | 2404391251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Primary Care Associates L.l.c 110 Baughmans Ln Ste 206 Frederick MD 21702-4059 Ph: (240) 439-1251 | Community Primary Care Associates L.l.c 110 Baughmans Ln Ste 206 Frederick MD 21702-4059 Ph: (240) 439-1251 |
| NPI Number | 1356147524 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 04/03/2025 |
| Medicare PECOS PAC ID | 4082132253 |
|---|---|
| Medicare Enrollment ID | O20250521000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356147524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Judith Anne Stambaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033429261 PECOS PAC ID: 2860672698 Enrollment ID: I20250521000076 |
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