| Broad Acres School Based Health Clinic | |
|
13313 Old Columbia Pike Silver Spring MD 20904-5233 | |
| (240) 740-1902 | |
| (301) 431-4049 |
| Full Name | Broad Acres School Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13313 Old Columbia Pike, Silver Spring, Maryland |
| Authorized Official Name and Position | Diana Azucena Cortez (MANAGEMENT) |
| Authorized Official Contact | 2406726758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Acres School Based Health Clinic 401 Hungerford Dr Fl 6 Rockville MD 20850-4154 Ph: (240) 777-4520 | Broad Acres School Based Health Clinic 13313 Old Columbia Pike Silver Spring MD 20904-5233 Ph: (240) 740-1902 |
| NPI Number | 1558481606 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558481606 | NPI | - | NPPES |
| 420869202 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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