Logistics Health Incorporated

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

R 187467 Issued in MD

Legal business name

LOGISTICS HEALTH INCORPORATED

Practice address

4201 Northview Dr Ste 410
Bowie, MD 20716-2668

Phone

(240) 644-5570

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Santiago

Title

NP

Phone

(256) 508-9034

Specialties & licenses 1

Addresses

Tax ID family

Logistics Health Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Mobile Primary Health Care, LLC

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1487063640
  NPD tax ID

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1043668775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 INDIAN GRASS CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742930",
            "telephone_number": "240-644-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162668",
            "telephone_number": "240-644-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGISTICS HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "256-508-9034",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "MD",
            "license": "R 187467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charnise Bridgette Littles
• Living Well Counseling and Consulting LLC (Living Well Counseling and Consulting)
• Ashley Lockley
• Abiodun Lofton
• Tyler Logan, DPT
• Susan Haywood Lohr, LCPC
• Michael Lombardo, PTA
• Cheryl Lundeberg Lonergan, M.D.
• Monique Long
• Blaise Milord Lontsi

• Military/U.S. Coast Guard Outpatient Clinic/Center in Bowie, MD
• Providers in Bowie, MD by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.