Provider Demographics
NPI: | 1871384032 |
---|---|
Name: | MEDSTAR URGENT CARE LLC |
Entity type: | Organization |
Organization Name: | MEDSTAR URGENT CARE LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
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: | 3007 TILDEN ST NW STE 5N |
Mailing Address - Street 2: | |
Mailing Address - City: | WASHINGTON |
Mailing Address - State: | DC |
Mailing Address - Zip Code: | 20008-3030 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 45870 EAST RUN DR. |
Practice Address - Street 2: | |
Practice Address - City: | LEXINGTON PARK |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20653 |
Practice Address - Country: | US |
Practice Address - Phone: | 855-910-3278 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-05-15 |
Last Update Date: | 2025-05-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty |