Organization Active NPI

First Call Medical Center Gambrills

  • Urgent Care Clinic/Center
  • Gambrills, MD
National Provider Identifier
1639700172
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FIRST CALL MEDICAL CENTER GAMBRILLS
Practice address
1071 MD RT 3 N Ste 101
Gambrills, MD 21054-1784
Phone
(410) 721-2333
NPI assigned
Feb 3, 2020
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Ron Elfenbein, MD
Title
Medical Directoor
Phone
(410) 721-2333

Specialties & licenses 1

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

Addresses

Primary practice location

1071 MD RT 3 N Ste 101
Gambrills, MD 21054-1784

Mailing address

5005 Signal Bell LN Ste 200
Clarksville, MD 21029-2608
Phone (410) 730-3399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1639700172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN STE 200",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292608",
            "telephone_number": "410-730-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CALL MEDICAL CENTER GAMBRILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOOR",
        "authorized_official_telephone_number": "410-721-2333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.