Organization Active NPI

Capital Integrative Health Center

  • Health Service Clinic/Center
  • Clinton, MD
National Provider Identifier
1073004354
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CAPITAL INTEGRATIVE HEALTH CENTER
Practice address
9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555
Phone
(240) 350-0561
Fax
(240) 348-7861
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Amos Williams
Title
Administrator
Phone
(240) 350-0561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555

Mailing address

9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555
Phone (240) 350-0561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1073004354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 410",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555",
            "telephone_number": "240-350-0561",
            "fax_number": "240-348-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 410",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555",
            "telephone_number": "240-350-0561",
            "fax_number": "240-348-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL INTEGRATIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-350-0561"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.