| Organization Name: | COMMUNITY HEALTH & URGENT CARE CLINIC |
| NPI Number: | 1063826907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERON RAMPHAL (PRESIDENT / OWNER) |
| Mailing Address: | 6401 New Hampshire Ave Hyattsville |
| State: | MD US |
| Postal Code: | 207833201 |
| Phone Number: | 3018010292 |
| Fax Number: | 8665961084 |
| NPI Enumeration Date: | 06/18/2014 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | D0054991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |