The Village Pediatric & Wellness Center
LBN: The Village Pediatric & Wellness Center
The Village Pediatric & Wellness Center is an health care organization with primary practice located at 50 W Edmonston Dr Ste 502 , Rockville MD 20852-1222. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
The Village Pediatric & Wellness Center can be contacted via phone (301) 637-3005, or through Pourrat, Monica Del Carmen via phone (301) 637-3005.
Contact Information
Primary practice address
50 W Edmonston Dr Ste 502
Rockville MD 20852-1222
Phone: (301) 637-3005
Fax: (866) 890-7221
Website:
Authorized official contact:
Name: Pourrat, Monica Del Carmen Doctor of Medicine (MD)
Phone: (301) 637-3005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | D0062518 | Maryland |
Profile Details
| NPI number | 1174949358 |
|---|---|
| LBN Legal business name | The Village Pediatric & Wellness Center |
| DBA Doing business as | |
| Authorized official | Pourrat, Monica Del Carmen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2014 |
| Last updated | Mar 11th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174949358 | NPPES |
| Maryland | MEDICAID | 10234246 |
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