Faithfirst Health Clinic & Urgent Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAITHFIRST HEALTH CLINIC & URGENT CARE LLC

Practice address

4302 Saint Barnabas Rd Ste G
Temple Hills, MD 20748-1842

Phone

(240) 200-6838

Fax

(800) 853-3149

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Calista Ogbu, NPNPI 1477811800

Title

Owner

Phone

(240) 601-7304

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Tax ID family

Faithfirst Health Clinic Urgent Care2 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.

• Faithfirst Health Clinic & Urgent Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
  • NPI 1619648136
  NPD tax ID

Practitioners 1

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

• Calista Ogbu, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
  • NPI 1477811800

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1285262758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 SAINT BARNABAS RD STE G",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481842",
            "telephone_number": "240-200-6838",
            "fax_number": "800-853-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 SAINT BARNABAS RD STE G",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481842",
            "telephone_number": "240-200-6838",
            "fax_number": "800-853-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFIRST HEALTH CLINIC & URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "OGBU",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-601-7304",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ehr",
            "address_1": "4302 Saint Barnabas Rd Ste G",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207481842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "4302 Saint Barnabas Rd Ste G",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207481842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Millicent Danielle Everette
• Erica Ewell, CCMA, CMT
• Extensions of Hope
• Eziacess NP Housecalls LLC
• Uche Fabiku
• Faithfirst Health Clinic & Urgent Care LLC
• Family Dental Care LLC
• Family Medical Service LLC.
• Carlton Ferebee, DPT
• Lolita P Fields

• Primary Care Clinic/Center in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.