Provider Demographics
NPI:1437910296
Name:NORTH AMERICAN UNITED HEALTHCARE SERVICES JV LLC
Entity Type:Organization
Organization Name:NORTH AMERICAN UNITED HEALTHCARE SERVICES JV LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-789-2964
Mailing Address - Street 1:501 HUNGERFORD DR APT P87
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1761
Mailing Address - Country:US
Mailing Address - Phone:301-789-2964
Mailing Address - Fax:888-344-3233
Practice Address - Street 1:501 HUNGERFORD DR APT P87
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1761
Practice Address - Country:US
Practice Address - Phone:301-789-2964
Practice Address - Fax:888-344-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service