| Organization Name: | MONTGOMERY COUNTY MARYLAND GOVERNMENT |
| NPI Number: | 1033478292 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY FIRESTINE (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 705 Bayfield St Takoma Park |
| State: | MD US |
| Postal Code: | 209127307 |
| Phone Number: | 3014317603 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2012 |
| NPI Last Update Date: | 02/15/2013 |
| 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: | |