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FAMILYCHOICE CLINIC LLC NPI 1528572153


NPI Information

NPI: 1528572153
Provider Name: FAMILYCHOICE CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2144550

Address:
5513 YORK RD
BALTIMORE, MD
ZIP 21212
Phone: (667) 212-2568
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FAMILYCHOICE CLINIC LLC is a primary care clinic center in Baltimore, MD. FAMILYCHOICE CLINIC LLC NPI is 1528572153. The provider is registered as an organization entity type.

The provider's business location address is:

5513 YORK RD
BALTIMORE, MD
ZIP 21212-804
Phone: (667) 212-2568
Fax: (667) 212-2682

The provider's authorized official is Margaret Temitayo Owolabi .
The authorized official title is Director and has the following contact phone number (443) 825-2955.

The CLIA number assigned to this NPI record is 21D2144550 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 12/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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

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