Healthcare Provider Details

I. General information

NPI: 1639218449
Provider Name (Legal Business Name): REGIONAL HEALTH CARE ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD SUITE 610
OXON HILL MD
20745-3100
US

IV. Provider business mailing address

6196 OXON HILL RD SUITE 610
OXON HILL MD
20745-3100
US

V. Phone/Fax

Practice location:
  • Phone: 301-839-5804
  • Fax: 301-839-6882
Mailing address:
  • Phone: 301-839-5804
  • Fax: 301-839-6882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0035456
License Number StateMD

VIII. Authorized Official

Name: CURTIS L THOMPSON
Title or Position: CEO
Credential:
Phone: 301-839-5804