Prime Medical Health Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME MEDICAL HEALTH CENTER, INC

Practice address

6B Industrial Park Drive
Unit 8
Waldorf, MD 20735-2073

Phone

(301) 337-1219

Fax

(888) 472-0377

NPI assigned

Oct 1, 2018

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lulita Lucero-UgalinoNPI 1841452687

Title

MD

Phone

(301) 337-1219

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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.

• Lulita Lucero-Ugalino, MD

  • Family Medicine Physician
  • Waldorf, MD
  • NPI 1841452687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1508341009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 FLAME LEAF CT",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354093",
            "telephone_number": "301-337-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B INDUSTRIAL PARK DRIVE",
            "address_2": "UNIT 8",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "207352073",
            "telephone_number": "301-337-1219",
            "fax_number": "888-472-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Post Office Rd Ste 7M",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022744",
            "country_code": "US",
            "telephone_number": "301-337-1219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Post Office Rd Ste 7M",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022744",
            "country_code": "US",
            "telephone_number": "301-337-1219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME MEDICAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "LUCERO-UGALINO",
        "authorized_official_first_name": "LULITA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-337-1219",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenna Price, LMSW
• Marilyn Denise Grayned Price, LCSW-C, LICSW
• Naisha Price, LPC
• Valerie Priest
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• Priority Care SM LLC
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• Privia Medical Group, LLC
• Privia Medical Group, LLC

• Family Medicine Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.