BELMONT FAMILY PRACTICE, INC. (NPI# 1073063715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073063715 |
| Entity Type | Organization |
| Organization Name | BELMONT FAMILY PRACTICE, INC. |
| Practice Address |
1346 Belmont Ave Ste 602 Salisbury MD 21804-4589 |
| Practice Telephone | 4107261798 |
| Practice Fax Number | 4437364080 |
| Mailing Telephone | 4107261798 |
| Mailing Fax Number | 4437364080 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | MRS. DONNA MARIE GRAY (PRESIDENT) |
| Authorized Official Telephone | 4107261798 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R145012 | MD | Ambulatory Health Care Facilities |
| Street Address |
1346 BELMONT AVE STE 602 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437482346 | Donna Marie Gray | Nurse Practitioner | 1346 Belmont Ave Ste 602, Salisbury, MD 21804-4589 | 2009-09-09 |
| 1003373051 | Iris Harrington Gehring | Nurse Practitioner | 1346 Belmont Ave Ste 602, Salisbury, MD 21804-4589 | 2019-02-26 |
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|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
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| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538500343 | B.n.j. Health Services, Inc-salisbury | Clinic/Center | 204 Newton St, Salisbury, MD 21801-5433 | 2013-07-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.