Healthcare Provider Details

I. General information

NPI: 1376435552
Provider Name (Legal Business Name): CONNEXTION HEALTH AND SCREENING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 TEMPLE HILL RD
TEMPLE HILLS MD
20748-3525
US

IV. Provider business mailing address

5315 TEMPLE HILL RD
TEMPLE HILLS MD
20748-3525
US

V. Phone/Fax

Practice location:
  • Phone: 614-218-4472
  • Fax: 614-218-4472
Mailing address:
  • Phone: 614-218-4472
  • Fax: 614-218-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEIANA DAVIS
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 614-218-4472