Organization Active NPI

St Marys College of Maryland Health Services

  • Student Health Clinic/Center
  • St Mary's City, MD
National Provider Identifier
1710755392
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ST MARYS COLLEGE OF MARYLAND HEALTH SERVICES
Practice address
47665 Margaret Brent Way
St Mary's City, MD 20630
Phone
(240) 895-4289
Fax
(240) 895-4937
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mary A Wince, CRNPNPI 1316306277
Title
CRNP
Phone
(240) 895-4289

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

47665 Margaret Brent Way
St Mary's City, MD 20630

Mailing address

47665 Margaret Brent Way
St Mary's City, MD 20630
Phone (240) 895-4289

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1710755392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47665 MARGARET BRENT WAY",
            "city": "ST MARY'S CITY",
            "state": "MD",
            "postal_code": "20630",
            "telephone_number": "240-895-4289",
            "fax_number": "240-895-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47665 MARGARET BRENT WAY",
            "city": "ST MARY'S CITY",
            "state": "MD",
            "postal_code": "20630",
            "telephone_number": "240-895-4289",
            "fax_number": "240-895-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS COLLEGE OF MARYLAND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "WINCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "240-895-4289",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Mary's City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.