Organization Name: | MONTGOMERY COUNTY MARYLAND GOVERNMENT |
NPI Number: | 1013144427 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY FIRESTINE (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 751 Twinbrook Pkwy Suite 211 Rockville |
State: | MD US |
Postal Code: | 208511400 |
Phone Number: | 2407773894 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |