NPIMap

Organization Active NPI

Ksa Youth Foundation Inc.

Doing business as A plus Health Center

  • Primary Care Clinic/Center
  • Dunkirk, MD
National Provider Identifier
1922568435
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KSA YOUTH FOUNDATION INC.
Doing business as
A plus Health Center
Practice address
10351 Southern Maryland Blvd Ste 101
Dunkirk, MD 20754-9510
Phone
(240) 766-4194
Fax
(301) 485-0363
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Katrina Wilkins-Jackson
Title
Ceo
Phone
(240) 766-4194

Specialties & licenses 1

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

Addresses

Primary practice location

10351 Southern Maryland Blvd Ste 101
Dunkirk, MD 20754-9510

Mailing address

10903 Indian Head Hwy Ste 504
Fort Washington, MD 20744-4012
Phone (240) 766-4194

Other names 1

  • A plus Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Plus Counseling Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10351 Southern Maryland Blvd
Ste 101
Dunkirk, MD 20754
Phone (240) 766-4194

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1922568435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 504",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "telephone_number": "240-766-4194",
            "fax_number": "301-485-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 SOUTHERN MARYLAND BLVD STE 101",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549510",
            "telephone_number": "240-766-4194",
            "fax_number": "301-485-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA YOUTH FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WILKINS-JACKSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-766-4194"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A plus Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.