PPNS

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PPNS

Practice address

6339 Ten Oaks Rd
Clarksville, MD 21029-1137

Phone

(301) 421-1214

Fax

(301) 421-4054

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Rachelle Bailey-El

Title

Office Manager

Phone

(301) 804-3081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quality First Urgent Care Clarksville Doing business as

Locations

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1609466507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15646 OLD COLUMBIA PIKE",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661630",
            "telephone_number": "301-421-1214",
            "fax_number": "301-421-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 TEN OAKS RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291137",
            "telephone_number": "301-421-1214",
            "fax_number": "301-421-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY-EL",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-804-3081",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207089800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality First Urgent Care Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.