Provider Demographics
NPI:1225230469
Name:CIGNET HEALTH
Entity Type:Organization
Organization Name:CIGNET HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CARYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-423-4551
Mailing Address - Street 1:3710 RIVIERA ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1719
Mailing Address - Country:US
Mailing Address - Phone:301-423-4551
Mailing Address - Fax:
Practice Address - Street 1:12164 CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1907
Practice Address - Country:US
Practice Address - Phone:301-218-9223
Practice Address - Fax:301-423-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty