Provider Demographics
NPI:1598051187
Name:THE PEOPLE'S COMMUNITY WELLNESS CENTER
Entity Type:Organization
Organization Name:THE PEOPLE'S COMMUNITY WELLNESS CENTER
Other - Org Name:TPCWC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAWANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-847-1172
Mailing Address - Street 1:3300 BRIGGS CHANEY RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4811
Mailing Address - Country:US
Mailing Address - Phone:301-847-1172
Mailing Address - Fax:301-847-1173
Practice Address - Street 1:3300 BRIGGS CHANEY RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4811
Practice Address - Country:US
Practice Address - Phone:301-847-1172
Practice Address - Fax:301-847-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health