Provider Demographics
NPI:1003502857
Name:MONARCH HEALTHCARE, LLC
Entity Type:Organization
Organization Name:MONARCH HEALTHCARE, LLC
Other - Org Name:MONARCH HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MATHENGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-624-9516
Mailing Address - Street 1:174 THOMAS JOHNSON DR STE 203
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4576
Mailing Address - Country:US
Mailing Address - Phone:301-624-9516
Mailing Address - Fax:202-379-7730
Practice Address - Street 1:174 THOMAS JOHNSON DR STE 203
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4576
Practice Address - Country:US
Practice Address - Phone:202-412-0658
Practice Address - Fax:202-379-7730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder