Provider Demographics
NPI:1609236272
Name:MEDSTAR URGENT CARE, LLC
Entity Type:Organization
Organization Name:MEDSTAR URGENT CARE, LLC
Other - Org Name:MEDSTAR PROMPTCARE - BEL AIR
Other - Org Type:Other Name
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-558-1403
Mailing Address - Street 1:2000 15 ST N
Mailing Address - Street 2:STE 600
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2900
Mailing Address - Country:US
Mailing Address - Phone:410-877-8087
Mailing Address - Fax:410-877-8086
Practice Address - Street 1:12 MEDSTAR BLVD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1798
Practice Address - Country:US
Practice Address - Phone:410-877-8087
Practice Address - Fax:410-877-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care