Healthcare Provider Details

I. General information

NPI: 1417279787
Provider Name (Legal Business Name): MONARCH XPRESS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 PULASKI HWY
WHITE MARSH MD
21162-1812
US

IV. Provider business mailing address

4715 FRANKLIN ST
BETHESDA MD
20814-4000
US

V. Phone/Fax

Practice location:
  • Phone: 410-666-2724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMES WELKER
Title or Position: MEMBER
Credential: DO
Phone: 301-530-6924