NPIMap

Organization Active NPI

Integrated Medical Clinic

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lanham, MD
National Provider Identifier
1609647577
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
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
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1609647577",
    "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": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "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": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "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 Jan 10, 2024; 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.