NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Rolling Terrace School Based Health Clinic

  • Primary Care Clinic/Center
  • Takoma Park, MD
National Provider Identifier
1033478292
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Rolling Terrace School Based Health Clinic
Practice address
705 Bayfield St
Takoma Park, MD 20912-7307
Phone
(301) 431-7603
NPI assigned
May 9, 2012
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diana Azucena Cortez
Title
Management
Phone
(240) 672-6758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

705 Bayfield St
Takoma Park, MD 20912-7307

Mailing address

401 Hungerford Dr FL 6
Rockville, MD 20850-4154
Phone (240) 777-4520

Other identifiers 1

IdentifierTypeStateIssuer
625403900MedicaidMD

Other names 1

  • Rolling Terrace School Based Health Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2043389Rolling Terrace Elementary School-Based HLTH Ctr705 Bayfield Street, Takoma Park, MD 20912Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dept of Addiction MNT99 organizations share this tax ID, including this one
Part of
Dept of Addiction MNT

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1033478292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-777-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BAYFIELD ST",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127307",
            "telephone_number": "301-431-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2012-05-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "AZUCENA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "240-672-6758"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625403900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Terrace School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.