Provider Demographics
NPI:1639218449
Name:REGIONAL HEALTH CARE ALLIANCE
Entity Type:Organization
Organization Name:REGIONAL HEALTH CARE ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-839-5804
Mailing Address - Street 1:6196 OXON HILL RD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3100
Mailing Address - Country:US
Mailing Address - Phone:301-839-5804
Mailing Address - Fax:301-839-6882
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 610
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-839-5804
Practice Address - Fax:301-839-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD891695Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER