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 | 261QM1103X | Clinic/Center | Military Ambulatory Procedure Visits Operational (Transportable) | | | No |
| 2 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 3 | 292200000X | Dental Laboratory | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | | Yes |
| 5 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |