OrganizationActive
Civista Clinical Services, L.L.C.
NPI 1447450176 · Hospitalist Physician · La Plata, MD
Provider details
- NPI number
- 1447450176
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Civista Care Partners, Inc.
- Organization subpart
- Yes
- Authorized official
- Gary Herbek, Svp Coo(301) 609-4141
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
701 Charles St
La Plata, MD 20646-5930
Phone: (301) 609-4000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1070
La Plata, MD 20646-1070
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.