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NPI Code Detail

MEDICARE: MONTGOMERY COUNTY MARYLAND GOVERNMENT

MEDICARE: MONTGOMERY COUNTY MARYLAND GOVERNMENT
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
1261QP0905XState or Local Public Health Clinic/Center
2261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558481606
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTGOMERY COUNTY MARYLAND GOVERNMENT
Provider Business Mailing Address
First Line : 401 HUNGERFORD DR FL 6
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-4154
Country : US
Telephone Number : 240-777-4520
Fax Number :
Provider Business Practice Location Address
First Line : 13313 OLD COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5233
Country : US
Telephone Number : 240-740-1902
Fax Number : 301-431-4049
Authorized Official
Title or Position : MANAGEMENT
Name : DIANA AZUCENA CORTEZ
Credential :
Telephone Number : 240-672-6758
Provider Enumeration Date : 03/30/2007
Last Update Date : 01/20/2026

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