MONTGOMERY COUNTY MARYLAND GOVERNMENT NPI 1629190756

NPI Information

NPI: 1629190756
Provider Name: MONTGOMERY COUNTY MARYLAND GOVERNMENT

Doing Business As: DENNIS AVENUE CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
2000 DENNIS AVE
SILVER SPRING, MD
ZIP 20902
Phone: (240) 777-1050
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MONTGOMERY COUNTY MARYLAND GOVERNMENT is a community health clinic center in Silver Spring, MD. MONTGOMERY COUNTY MARYLAND GOVERNMENT NPI is 1629190756. The provider is registered as an organization entity type.
The provider Is Doing Business As Dennis Avenue Clinic.

The provider's business location address is:

2000 DENNIS AVE
SILVER SPRING, MD
ZIP 20902-136
Phone: (240) 777-1050

The provider's authorized official is Timothy Firestine .
The authorized official title is Chief Administrative Officer and has the following contact phone number (240) 777-2500.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 2/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420880300	MEDICAID	MARYLAND
2	785406	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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