| School Based Health Center Summit Hall | |
|
101 W Deer Park Rd Gaithersburg MD 20877-1850 | |
| (301) 284-4150 | |
| (301) 548-7543 |
| Full Name | School Based Health Center Summit Hall |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 W Deer Park Rd, Gaithersburg, 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 |
|---|---|
| School Based Health Center Summit Hall 401 Hungerford Dr Fl 6 Rockville MD 20850-4154 Ph: (240) 777-4520 | School Based Health Center Summit Hall 101 W Deer Park Rd Gaithersburg MD 20877-1850 Ph: (301) 284-4150 |
| NPI Number | 1174793657 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 01/20/2026 |
| Certification Date | 01/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174793657 | NPI | - | NPPES |
| 415870900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (NU) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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