Diversity Health Clinic, Llc

LBN: Diversity Health Clinic, Llc
Diversity Health Clinic, Llc is an health care organization with primary practice located at 15101 Centergate Dr , Silver Spring MD 20905-5714. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Diversity Health Clinic, Llc can be contacted via phone (301) 793-4761, or through Mba, Akukeng W. via phone (301) 793-4761.

Contact Information

Primary practice address
15101 Centergate Dr Silver Spring MD 20905-5714
Phone: (301) 793-4761
Fax: (800) 519-7417
Website:
Map and Directions
Authorized official contact:
Name: Mba, Akukeng W. CRNP
Phone: (301) 793-4761

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1780286732
LBN Legal business name Diversity Health Clinic, Llc
DBA Doing business as
Authorized official Mba, Akukeng W. CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2020
Last updated Nov 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780286732 NPPES
Maryland Other R185268 LICENSE

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