S HOLLINGSWORTH LLC


Address: 2 E Potomac St, Brunswick, MD 21716-1411
Phone: 2403072300

S HOLLINGSWORTH LLC (NPI# 1962033118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962033118
Entity Type Organization
Organization Name S HOLLINGSWORTH LLC
Practice Address 2 E Potomac St
Brunswick
MD 21716-1411
Mailing Address 722 Potomac View Pkwy
Brunswick
MD 21716-9719
Practice Telephone 2403072300
Mailing Telephone 7034738411
Enumeration Date 2020-01-27
Last Update Date 2020-01-27
Authorized Official Name SARAH HOLLINGSWORTH (NURSE PRACTITIONER)
Authorized Official Telephone 7034738411
Authorized Official Credential CRNP-PMH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD 777599700 05

Other Provider/Organization Names

Other Name Type Code
Brunswick Psychiatry and Wellness Services Doing Business As Name - Organization

Office Location

Street Address 2 E POTOMAC ST
City BRUNSWICK
State MD
Zip Code 21716-1411

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NPI Name Taxonomy Address Enumeration
1497272728 Weis Markets, Inc. Pharmacy 1201 Dutchman's Creek Drive, Brunswick, MD 21716 2017-08-28
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1144374497 Jennifer Teeter Physician Assistant 610 Ninth Avenue, Brunswick, MD 21716 2007-01-23
1467584219 Jenni L Dorsey Physician Assistant 610 Ninth Avenue, Brunswick, MD 21716 2007-03-09
1245702901 Anita Young Speech-Language Pathologist 400 Central Ave, Brunswick, MD 21716-1022 2018-12-19
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1972147684 Greenlane Transportation Inc Non-emergency Medical Transport (VAN) 213 W B St, Brunswick, MD 21716-1126 2019-11-05
1891127890 Leaora L Wagner Behavioral Analyst 1043 Orndorff Ct, Brunswick, MD 21716-1219 2013-08-01
1013304245 Autism Behavior Connection, LLC Community/Behavioral Health 1043 Orndorff Ct, Brunswick, MD 21716-1219 2015-04-26
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BRUNSWICK
Zip Code 21716

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Dataset Information

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.

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