MEDICARE: C.A. RUSHING & ASSOCIATES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164562815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C.A. RUSHING & ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	1811 PLYMOUTH CT
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1661
Country	:	US
Telephone Number	:	301-249-3731
Fax Number	:	410-800-4871

Provider Business Practice Location Address
First Line	:	3578 2ND ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21225-1729
Country	:	US
Telephone Number	:	410-878-7030
Fax Number	:	410-800-4871

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CRAIG ALEXANDER RUSHING
Credential	:	LCPC
Telephone Number	:	410-878-7030

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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