NPIMap

Organization Active NPI

Patient Centered Health Care LLC

  • Urgent Care Clinic/Center
  • District Heights, MD
National Provider Identifier
1811649015
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PATIENT CENTERED HEALTH CARE LLC
Doing business as
Patient-Centered Urgent and Primary Care
Practice address
6210 Foster St
District Heights, MD 20747-1206
Phone
(240) 770-6689
Fax
(855) 451-0224
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Caroline Aina Ibijemilusi
Title
Provider
Phone
(240) 770-6689

Specialties & licenses 1

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

Addresses

Primary practice location

6210 Foster St
District Heights, MD 20747-1206

Mailing address

6210 Foster St
District Heights, MD 20747-1206
Phone (240) 770-6689

Other names 1

  • Patient-Centered Urgent and Primary Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1811649015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 FOSTER ST",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471206",
            "telephone_number": "240-770-6689",
            "fax_number": "855-451-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 FOSTER ST",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471206",
            "telephone_number": "240-770-6689",
            "fax_number": "855-451-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "IBIJEMILUSI",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "AINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-770-6689"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient-Centered Urgent and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.