Provider Demographics
NPI:1235342403
Name:MONTGOMERY COUNTY LANGUAGE MINORITY HEALTH PROJECT INC.
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY LANGUAGE MINORITY HEALTH PROJECT INC.
Other - Org Name:PROYECTO SALUD CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:301-962-6173
Mailing Address - Street 1:11002 VEIRS MILL ROAD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2574
Mailing Address - Country:US
Mailing Address - Phone:301-962-6173
Mailing Address - Fax:301-962-5733
Practice Address - Street 1:11002 VEIRS MILL ROAD
Practice Address - Street 2:SUITE 700
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2574
Practice Address - Country:US
Practice Address - Phone:301-962-6173
Practice Address - Fax:301-962-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4208081-00Medicaid
DC551841Medicare PIN