Provider Demographics
NPI:1134017841
Name:SAVAGE FAMILY HEALTHCARE
Entity type:Organization
Organization Name:SAVAGE FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:240-321-4114
Mailing Address - Street 1:PO BOX 701
Mailing Address - Street 2:
Mailing Address - City:KITZMILLER
Mailing Address - State:MD
Mailing Address - Zip Code:21538-0701
Mailing Address - Country:US
Mailing Address - Phone:301-453-1099
Mailing Address - Fax:855-717-2323
Practice Address - Street 1:935 STATE STREET
Practice Address - Street 2:
Practice Address - City:KITZMILLER
Practice Address - State:MD
Practice Address - Zip Code:21538
Practice Address - Country:US
Practice Address - Phone:301-453-1099
Practice Address - Fax:855-717-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care