Ace Urgent Care and Clinic LLC
Organization Active NPI Urgent Care Clinic/Center · Greenbelt, MD
NPI 1053622019 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1053622019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ACE URGENT CARE AND CLINIC LLC
- Practice address
- 7347 Hanover Pkwy Ste B
Greenbelt, MD 20770-3663 - Phone
- (301) 220-2277
- NPI assigned
- Jun 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Olubayo Oludara-Fadare, MD
- Title
- MD
- Phone
- (301) 220-2277
Subparts reporting this organization as parent 1
Practitioners 3
-
Bosede M Adeleye, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100712000474 | DC | Part B Supplier - Clinic/Group Practice | 2163554056 |
Receives reassigned benefits from 1 practitioner Practice locations: Greenbelt, MD |
National Provider Directory
Locations
7245 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 220-2277
7347 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 220-2277
Interoperability endpoints
- https://api.platform.athenahealth.com/4265/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
7347 Hanover Pkwy Ste B
Greenbelt, MD 20770-3663
Mailing address
PO Box 837
Greenbelt, MD 20768-0837
Phone (301) 220-2277
Other providers in Greenbelt, MD
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- Ace Clinic
- Elvis Ndum Acha
- Stella N Acha
- Carophine Aweih Acho Epse Asaah
- Derick Abong Achombom
- Ndubuisi C Achufusi
All providers in Greenbelt, MD · Urgent Care Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.