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METRO XTRACARE P.C. NPI 1477958429


NPI Information

NPI: 1477958429
Provider Name: METRO XTRACARE P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2096991

Address:
3608 MILFORD MILL RD
WINDSOR MILL, MD
ZIP 21244
Phone: (443) 272-7858
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METRO XTRACARE P.C. is a primary care clinic center in Windsor Mill, MD. METRO XTRACARE P.C. NPI is 1477958429. The provider is registered as an organization entity type.

The provider's business location address is:

3608 MILFORD MILL RD
WINDSOR MILL, MD
ZIP 21244-328
Phone: (443) 272-7858

The provider's authorized official is Babajide O Runsewe .
The authorized official title is President and has the following contact phone number (443) 272-7858.

The CLIA number assigned to this NPI record is 21D2096991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2014 and was last updated on 7/2/2023.


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
1261QP2300XClinic/CenterPrimary CareNo
2261QU0200XClinic/CenterUrgent CareD15720816MARYLANDNo
3261QP2300XClinic/CenterPrimary CareD15720816MARYLANDYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.