Provider Demographics
NPI:1629242284
Name:CIGNET URGENT CARE
Entity Type:Organization
Organization Name:CIGNET URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CARYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-423-4551
Mailing Address - Street 1:3710 RIVIERA ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1719
Mailing Address - Country:US
Mailing Address - Phone:301-423-4551
Mailing Address - Fax:301-423-4553
Practice Address - Street 1:7943 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3529
Practice Address - Country:US
Practice Address - Phone:301-324-0724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046895261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care