CIVISTA CLINICAL SERVICES LLC is a multi-specialty clinic center in Waldorf, MD. CIVISTA CLINICAL SERVICES LLC NPI is 1831417476. The provider is registered as an organization entity type. The provider Is Doing Business As Civista Women's Health Center.
The provider's business location address is:
11315 PEMBROOKE SQ STE 111 WALDORF, MD ZIP 20603-806 Phone: (301) 843-3150 Fax: (301) 843-2560
The provider's authorized official is Ivette M Montes De Oca . The authorized official title is Practice Manager and has the following contact phone number (301) 843-3150.
The CLIA number assigned to this NPI record is 21D2230266 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/6/2010 and was last updated on 12/17/2019.
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:
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: 11/21/2025
NPI Synchronization or Removal
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