ACCOKEEK COMMUNITY DEVELOPMENT CORP (NPI# 1659350767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659350767 |
Entity Type | Organization |
Organization Name | ACCOKEEK COMMUNITY DEVELOPMENT CORP |
Practice Address |
3070 Crain Hwy Suite 102 Waldorf MD 20601-2830 |
Practice Telephone | 3019328659 |
Practice Fax Number | 3019327202 |
Mailing Telephone | 3019328659 |
Mailing Fax Number | 3019327202 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. TONI HARRIS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3019328659 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
Street Address |
3070 CRAIN HWY SUITE 102 |
City | WALDORF |
State | MD |
Zip Code | 20601-2830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144691262 | Health Partners, Inc | Dentist | 3070 Crain Hwy, Suite 101, Waldorf, MD 20601-2830 | 2015-10-15 |
1649304460 | Health Partners, Inc. | Clinic/Center | 3070 Crain Hwy, Waldorf, MD 20601-2830 | 2007-03-15 |
1407928005 | Louise Greer Jenne | Nurse Practitioner | 3070 Crain Hwy, Waldorf, MD 20601-2830 | 2006-11-15 |
1639132152 | Howard Mark Haft | Internal Medicine | 3070 Crain Hwy, Suite 101, Waldorf, MD 20601-2830 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
Find all providers in zip 20601 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548876386 | The Zett Foundation Lncorporated | Clinic/Center | 1610 George Ave, Severn, MD 21144-3206 | 2020-09-17 |
1962033118 | S Hollingsworth LLC | Clinic/Center | 2 E Potomac St, Brunswick, MD 21716-1411 | 2020-01-27 |
1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
1720641509 | Process of Changes | Clinic/Center | 1000 Ingleside Ave Ste 1, Catonsville, MD 21228-1317 | 2019-04-17 |
1720567373 | Pgi Holdings LLC | Clinic/Center | 515 E Joppa Rd Ste 104, Towson, MD 21286-1804 | 2018-08-13 |
1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
1558869032 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 300 Scholls Ln Ste B, Frederick, MD 21701-6380 | 2018-01-30 |
1659885457 | C.h.o.i.c.e.s. International | Clinic/Center | 9701 Apollo Dr Ste 304, Upper Marlboro, MD 20774-4790 | 2017-12-01 |
Find all providers with the same taxonomy |
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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.