KOLMAC CLINIC LLC NPI 1215557038

NPI Information

NPI: 1215557038
Provider Name: KOLMAC CLINIC LLC

Doing Business As: KOLMAC OUTPATIENT RECOVERY CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3905 NATIONAL DR STE 200
BURTONSVILLE, MD
ZIP 20866
Phone: (667) 239-3309
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KOLMAC CLINIC LLC is a rehabilitation and substance use disorder clinic center in Burtonsville, MD. KOLMAC CLINIC LLC NPI is 1215557038. The provider is registered as an organization entity type.
The provider Is Doing Business As Kolmac Outpatient Recovery Centers.

The provider's business location address is:

3905 NATIONAL DR STE 200
BURTONSVILLE, MD
ZIP 20866-143
Phone: (667) 239-3309

The provider's authorized official is Keonna Armstrong .
The authorized official title is Vp Rcm and has the following contact phone number (667) 239-3309.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 10/6/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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