| Gaithersburg School Based Health Clinic | |
|
35 N Summit Ave Gaithersburg MD 20877-2921 | |
| (301) 926-1628 | |
| Not Available |
| Full Name | Gaithersburg School Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 35 N Summit Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Timothy Firestine (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2407772500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg School Based Health Clinic 101 Monroe St Rockville MD 20850-2503 Ph: (240) 777-2500 | Gaithersburg School Based Health Clinic 35 N Summit Ave Gaithersburg MD 20877-2921 Ph: (301) 926-1628 |
| NPI Number | 1053431106 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431106 | NPI | - | NPPES |
| 420869204 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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