NPIMap

Organization Active NPI

Integrated Medical Clinic

  • Substance Abuse Rehabilitation Facility
  • Lanham, MD
National Provider Identifier
1205514478
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INTEGRATED MEDICAL CLINIC
Practice address
7404 Executive PL Ste 100
Lanham, MD 20706-6237
Phone
(240) 260-3827
Fax
(240) 260-3830
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Florence Nguh, NPNPI 1093258998
Title
Owner
Phone
(240) 260-3827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7404 Executive PL Ste 100
Lanham, MD 20706-6237

Mailing address

3613 Celeste Bruce Cir
Bowie, MD 20721-2287
Phone (240) 260-3827

National Provider Directory

National Provider Directory
Tax ID family
Integrated Medical Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1205514478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 CELESTE BRUCE CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212287",
            "telephone_number": "240-260-3827",
            "fax_number": "240-260-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 100",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066237",
            "telephone_number": "240-260-3827",
            "fax_number": "240-260-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "NGUH",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-260-3827",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.