KOLMAC CLINIC, LLC


Address: 1701 Clarendon Blvd Ste 100, Arlington, VA 22209-2700
Phone: 3015890255

KOLMAC CLINIC, LLC (NPI# 1346862562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346862562
Entity Type Organization
Organization Name KOLMAC CLINIC, LLC
Practice Address 1701 Clarendon Blvd Ste 100
Arlington
VA 22209-2700
Mailing Address 3919 National Dr Ste 300
Burtonsville
MD 20866-1180
Practice Telephone 3015890255
Mailing Telephone 3015890255
Enumeration Date 2020-05-11
Last Update Date 2020-05-11
Authorized Official Name MICHAEL CLARK (CHIEF ADMIN OFFICER)
Authorized Official Telephone 3015890255
Is Organization Subpart Y
Parent Organization Name KOLMAC CLINIC, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kolmac Outpatient Recovery Centers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275155335 Kolmac Clinic, LLC Clinic/Center 6525 N Charles St Ste 85, Towson, MD 21204-6872 2020-05-12

Office Location

Street Address 1701 CLARENDON BLVD STE 100
City ARLINGTON
State VA
Zip Code 22209-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568715423 Melissa Ann Woods Counselor 1701 Clarendon Blvd Ste 100, Arlington, VA 22209-2700 2012-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104185776 Jelena Kecmanovic Psychologist 1655 North Fort Myer Drive, Suite 350, Arlington, VA 22209 2012-05-16
1386815371 Metropolitan Psychiatric Services Psychiatry & Neurology 1101 Arlington Boulevard, Suite 130, Arlington, VA 22209 2008-03-18
1467652966 Anne L. Minor Social Worker 1655 Fort Myer Drive, 700, Arlington, VA 22209 2007-07-23
1811040561 Jason F Favagehi Dds PC Dentist 1000 Wilson Blvd, Suite M745, Arlington, VA 22209 2007-01-18
1750479697 Mira Dental Care Pllc Dentist 1800 N Kent St, Suite 100, Arlington, VA 22209 2006-10-10
1982716015 Louis J Lavecchia Dentist 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 2006-08-31
1265476022 Sheila Jahan Neuromusculoskeletal Medicine & OMM 1881 N Nash St Unit 309, Arlington, VA 22209 2006-06-15
1770553828 Paul Dimitre Garst Internal Medicine Medical Director, Tricare Regional Office North, 1700 N. Moore St., Suite 1200, Arlington, VA 22209 2006-01-23
1619274214 Samuel Leland Lashley Psychologist 1655 Fort Myer Drive, Suite 350, Arlington, VA 22209 2011-02-16
1568574648 Gregory L Lavecchia Dentist 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 2006-08-31
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1881132231 Cmb Holdings Clinic/Center 4420 Fairfax Dr, Suite 100, Arlington, VA 22203-1645 2017-02-06
1134588668 Billing Complete LLC Clinic/Center 110 W Randol Mill Rd Ste 214, Arlington, TX 76011-4611 2016-02-11
1891125563 Soteria, LLC Clinic/Center 301 S Center St Ste 130, Arlington, TX 76010-7145 2013-11-17
1164711768 Center for Therapeutic Change, Ltd Clinic/Center 605 E Border St, Arlington, TX 76010-7404 2011-04-04
1245432962 Right Turn, Inc. Clinic/Center 299 Broadway, Arlington, MA 02474 2007-06-04

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1154967214 Intergrated Medical Services, LLC Clinic/Center 7511 Donset Ct, Manassas, VA 20109-6200 2019-11-25
1871136143 Apex Treatment Centers Clinic/Center 1230 Alverser Dr Ste 101, Midlothian, VA 23113-2653 2019-10-19
1598306649 Catalyst Recovery and Wellness LLC Clinic/Center 9309 Center St Ste 101, Manassas, VA 20110-5599 2019-09-30
1073164539 Southwest Virginia Community Health Systems Inc Clinic/Center 416 E Main St Rm 2, Marion, VA 24354-3318 2019-09-26
1134783194 First Step Medical LLC Clinic/Center 754 East Main St., Lebanon, VA 24266-5014 2019-04-25
1740844067 Appalachian Medical Associates LLC Clinic/Center 5453 Gov. G.c. Peery Hwy, Suite 1, Raven, VA 24639 2019-04-23
1386118248 Pinnacle Treatment Centers Va-ii, LLC Clinic/Center 5408 Woolshire Dr, Glen Allen, VA 23059-3412 2019-01-14
1205306537 Applegate Health Services, Inc Clinic/Center 210 Professional Park Dr Se Ste 9, Blacksburg, VA 24060-6649 2018-11-29
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Competitor

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City ARLINGTON
Zip Code 22209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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