SOUTH MOUNTAIN FAMILY PRACTICE LLC
NPI 1487844593
Clinic/Center in Boonsboro, MD

Q: What is South Mountain Family Practice LLC's NPI number?

The NPI number for South Mountain Family Practice LLC is 1487844593. It was assigned to this organization in the NPPES registry on July 26, 2007.

Q: What is South Mountain Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 26, 2007

9 SAINT PAUL ST, BOONSBORO, MD 21713(301) 432-0623(301) 432-0624 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About South Mountain Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH MOUNTAIN FAMILY PRACTICE LLC (NPI 1487844593) is a healthcare organization registered as a clinic/center in Boonsboro, Maryland and active in the NPI registry since July 2007. The organization lists William F Bodenheimer, Owner, as its authorized official.

NPPES Registry Identity

NPI1487844593

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTH MOUNTAIN FAMILY PRACTICE LLC

Location Address9 SAINT PAUL STBoonsboro, MD 21713-1334

Mailing Address9 Saint Paul StBoonsboro, MD 21713-1334 · (301) 432-0623 · Fax (301) 432-0624

Phone(301) 432-0623

Fax(301) 432-0624

Organization SubpartNo

Authorized OfficialWilliam F BodenheimerOwner · (301) 432-0623

Enumeration DateJuly 26, 2007

Last NPPES UpdateJune 29, 2011

✔ NPI 1487844593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MD · D0056826

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9 SAINT PAUL ST, Boonsboro, MD 21713

Open in Google Maps ↗

Other Identifiers 3

Medicaid864001700MD

Medicare PIN037NMD

Medicare UPING90193MD

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN REDDING

Student in an Organized Health Care Education/Training Program

9 SAINT PAUL ST
BOONSBORO, MD 21713

Washington County (240) 527-5351

REBECCA TARGOFF FNP-BC

Nurse Practitioner (Family)

9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713

Washington County (301) 432-6897

HEIDI BODENHEIMER NBHWC HEALTH COACH

Health and Wellness Coach

9 SAINT PAUL ST
BOONSBORO, MD 21713

Washington County (301) 991-9892

WILLIAM FRANKLIN BODENHEIMER III M.D.

Family Medicine

9 SAINT PAUL ST
BOONSBORO, MD 21713

Washington County (301) 432-0623

PODIATRY ASSOCIATES PA

Podiatrist

9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713

Washington County (410) 879-1212

MS. KELLY ANN FLEMMING PTA

Physical Therapy Assistant

9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713

Washington County (301) 432-8585

LIFE FITNESS PHYSICAL THERAPY OF BOONSBORO

Physical Therapist

9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713

Washington County (301) 432-6966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Mountain Family Practice LLC's NPI number?

The NPI number for South Mountain Family Practice LLC is 1487844593. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is South Mountain Family Practice LLC located?

South Mountain Family Practice LLC is located at 9 Saint Paul St, Boonsboro, MD 21713. The listed phone number is (301) 432-0623.

What is South Mountain Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for South Mountain Family Practice LLC was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.