Malcolm Grow Medical Center
Organization Active NPI Military Hospital · Andrews Afb, MD
NPI 1508917501 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508917501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military Hospital 286500000X
- License
- 0810003522 (VA)
- Legal business name
- MALCOLM GROW MEDICAL CENTER
- Practice address
- 1050 W Perimeter Rd
79Mdos-Sgohy
Andrews Afb, MD 20762-6601 - Phone
- (240) 857-0168
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jenna M Ermold, PH.D.
- Title
- Staff Psychologist
- Phone
- (240) 857-0168
Practitioners 10
-
Carmen Arguelles, CRNA
-
Stephen Michael Burns, M.D.
-
Terry Lane Haske, M.D.
-
Yuanhong Wang, M.D.
-
Victor M Inga, PA-C
-
Monica Whent, RD
National Provider Directory
Locations
1050 W Perimeter Rd
#79
Jb Andrews, MD 20762
Phone (240) 857-4951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 0810003522 | VA | Yes |
Addresses
Primary practice location
1050 W Perimeter Rd
79Mdos-Sgohy
Andrews Afb, MD 20762-6601
Mailing address
1050 W Perimeter Rd
79Mdos-Sgohy
Andrews Afb, MD 20762-6601
Phone (240) 857-0168
Other providers in Andrews Afb, MD
- Erica Marie Jasper
- Diane Santos Lantagne
- Christopher Lewandowski
- Lori Lynn Littlejohn
- Sean Macdermott
- Jamil Malouf
- John Michael McNamara
- Peggy Ann Milam
- Charles Motsinger
- Khayanga Shakilo Namasaka
All providers in Andrews Afb, MD · Military Hospital in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.