Provider Demographics
NPI:1407476955
Name:RCC COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:RCC COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:443-854-0638
Mailing Address - Street 1:3 GREENWOOD PL STE 100
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2701
Mailing Address - Country:US
Mailing Address - Phone:443-854-0638
Mailing Address - Fax:
Practice Address - Street 1:3 GREENWOOD PL STE 100
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2701
Practice Address - Country:US
Practice Address - Phone:443-854-0638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care