PREVENTION &MANAGEMENT OUTREACH CLINIC INC. NPI 1619122504

NPI Information

PREVENTION &MANAGEMENT OUTREACH CLINIC INC. is a preferred provider organization in Columbia, MD. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PREVENTION &MANAGEMENT OUTREACH CLINIC INC. NPI is 1619122504. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Prevention & Management Outreach Clinic Inc..

The provider's business location address is:

5941 MILLRACE CT UNIT D103
COLUMBIA, MD
ZIP 21045-204
Phone: (410) 312-3126

The provider's authorized official is Lisa Bush .
The authorized official title is President/ceo and has the following contact phone number (410) 312-3126.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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