NPIMap

Organization Active NPI

Adventist Health Care Urgent Care Centers, Inc.

  • Urgent Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1619321981
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVENTIST HEALTH CARE URGENT CARE CENTERS, INC.
Practice address
14421 Baltimore Avenue
Laurel, MD 20707
Phone
(240) 786-6684
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Mr. Terry Forde
Title
President
Phone
(301) 315-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

14421 Baltimore Avenue
Laurel, MD 20707

Mailing address

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1419
Phone (301) 315-3176

National Provider Directory

National Provider Directory
Tax ID family
Adventist Healthcare Urgent Care Centers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1619321981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "address_2": "SUITE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 BALTIMORE AVENUE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "240-786-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CARE URGENT CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-315-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.