NPIMap

Organization Active NPI

Montgomery County Maryland Government

Doing business as Piccard Drive Health Clinic

  • Community Health Clinic/Center
  • Rockville, MD
National Provider Identifier
1922120047
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Doing business as
Piccard Drive Health Clinic
Practice address
1335 Piccard Dr
Rockville, MD 20850-4359
Phone
(240) 777-3987
NPI assigned
Apr 6, 2007
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Mr. Timothy Firestine
Title
Chief Administrative Officer
Phone
(240) 777-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

1335 Piccard Dr
Rockville, MD 20850-4359

Mailing address

101 Monroe St
Rockville, MD 20850-2503
Phone (240) 777-2500

Other names 1

  • Piccard Drive Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dept of Addiction MNT99 organizations share this tax ID, including this one
Part of
Dept of Addiction MNT

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1335 Piccard Dr
Rockville, MD 20850
Phone (240) 777-4438

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1922120047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MONROE ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502503",
            "telephone_number": "240-777-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PICCARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504359",
            "telephone_number": "240-777-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "FIRESTINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "240-777-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piccard Drive Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.