Provider Demographics
NPI:1235885229
Name:LONGTCHI GROUP LLC
Entity Type:Organization
Organization Name:LONGTCHI GROUP LLC
Other - Org Name:FIRST POINT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEDEON
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGTCHI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-353-2357
Mailing Address - Street 1:PO BOX 668
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639-0668
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14300 CHERRY LANE CT STE 217
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4990
Practice Address - Country:US
Practice Address - Phone:240-353-2357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1689157331Medicaid
DC1427319870Medicaid