NPIMap

Organization Active NPI

Your Health Network

  • Primary Care Clinic/Center
  • Columbia, MD
National Provider Identifier
1720520810
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22259 Issued in MD
Legal business name
YOUR HEALTH NETWORK
Doing business as
Evergreen Health Care
Practice address
9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526
Phone
(301) 575-8080
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Ms. Elizabeth Burger
Title
Executive Director
Phone
(443) 451-3873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22259 MD Primary

Addresses

Primary practice location

9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526

Mailing address

9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526
Phone (301) 575-8080

Other names 1

  • Evergreen Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Your Health Network Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1720520810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461526",
            "telephone_number": "301-575-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461526",
            "telephone_number": "301-575-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-451-3873",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "22259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.