Organization Name: | LEANDER GREEN |
NPI Number: | 1376897959 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEANDER EDWARD GREEN (CEO/ADMINISTRATOR) |
Mailing Address: | 14223 Lusby Ridge Rd Accokeek |
State: | MD US |
Postal Code: | 206073762 |
Phone Number: | 7577291271 |
Fax Number: | 2025637256 |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |