| NPI | 1255409082 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-01 |
| Last Updated | 2024-02-05 |
| Authorized Official | Muhammed Niaz Owner Phone: 4103926408 |
| Mailing Address | 107 N Bridge St Elkton, MD 21921-5326 United States Phone: (410) 392-6408 | Fax: (410) 392-4809 📍 View Map |
| Primary Practice Address | 107 N Bridge St Elkton, MD 21921-5326 United States Phone: (410) 392-6408 | Fax: (410) 392-6409 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MD | 401409000 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | - | - |
| No | 207RA0401X – Internal Medicine, Addiction Medicine | - | - |
| No | 207RS0012X – Internal Medicine, Sleep Medicine | - | - |
| No | 363L00000X – Nurse Practitioner | - | - |
| Yes | 174400000X – Specialist | - | - |
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About NPI 1255409082
Tri-State Health, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1255409082. The primary specialty listed is Specialist. The organization is located in Elkton, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255409082?
NPI 1255409082 belongs to Tri-State Health, Inc., a Specialist in Elkton, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255409082 active?
The current status of NPI 1255409082 in the NPPES registry is Active. The record was last updated on 2024-02-05.
What specialty is NPI 1255409082?
NPI 1255409082 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255409082?
You can verify NPI 1255409082 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255409082?
The primary practice address on file for NPI 1255409082 is 107 N Bridge St, Elkton, MD 21921-5326. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255409082 issued?
NPI 1255409082 was first issued (enumerated) on 2006-12-01. The NPPES record was last updated on 2024-02-05.
Practice Location Map
Tri-State Health, Inc. is located at 107 N Bridge St, Elkton, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tri-State Health, Inc.. All records sourced from the CMS NPPES registry.