MEDICARE: THE PEOPLE'S COMMUNITY WELLNESS CENTER

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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1598051187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PEOPLE'S COMMUNITY WELLNESS CENTER

Provider Business Mailing Address
First Line	:	3300 BRIGGS CHANEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4811
Country	:	US
Telephone Number	:	301-847-1172
Fax Number	:	301-847-1173

Provider Business Practice Location Address
First Line	:	3300 BRIGGS CHANEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4811
Country	:	US
Telephone Number	:	301-847-1172
Fax Number	:	301-847-1173

Authorized Official
Title or Position	:	INTERIM EXECUTIVE DIRECTOR
Name	:	MS. TAWANA L WHEELER
Credential	:
Telephone Number	:	301-847-1172

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	06/22/2011

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Directions to “THE PEOPLE'S COMMUNITY WELLNESS CENTER ” Practice Location

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