Healthcare Provider Details

I. General information

NPI: 1871448050
Provider Name (Legal Business Name): PRIMECARE TRANSIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15228 N BERWICK LN
UPPER MARLBORO MD
20774-9029
US

IV. Provider business mailing address

4450 MITCHELLVILLE RD # 1286
BOWIE MD
20716-3112
US

V. Phone/Fax

Practice location:
  • Phone: 240-962-5995
  • Fax:
Mailing address:
  • Phone: 240-962-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: WALTER GREEN
Title or Position: OWNER
Credential:
Phone: 240-962-5995