Provider Demographics
NPI:1558908335
Name:MEDICALINCS LLC
Entity Type:Organization
Organization Name:MEDICALINCS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NKEM
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH, MBA
Authorized Official - Phone:256-648-9182
Mailing Address - Street 1:9710 TRAVILLE GATEWAY DR STE 145
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7408
Mailing Address - Country:US
Mailing Address - Phone:256-648-9182
Mailing Address - Fax:
Practice Address - Street 1:8757 GEORGIA AVE STE 440
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3750
Practice Address - Country:US
Practice Address - Phone:240-800-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health