NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as School Based Health Center Summit Hall

  • Primary Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1174793657
Registry record updated Jan 20, 2026
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
School Based Health Center Summit Hall
Practice address
101 W Deer Park Rd
Gaithersburg, MD 20877-1850
Phone
(301) 284-4150
Fax
(301) 548-7543
NPI assigned
Mar 11, 2008
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

101 W Deer Park Rd
Gaithersburg, MD 20877-1850

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
415870900MedicaidMD

Other names 1

  • School Based Health Center Summit Hall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Co Dept of F99 organizations share this tax ID, including this one
Part of
Montgomery Co Dept of F

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1174793657",
    "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": "101 W DEER PARK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771850",
            "telephone_number": "301-284-4150",
            "fax_number": "301-548-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2008-03-11",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "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": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415870900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School Based Health Center Summit Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.