National Provider Identifier Database

FAMILY HEALTH CENTER
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

FAMILY HEALTH CENTER
3415 HAMILTON ST
SUITE 9
HYATTSVILLE, MD20782-3953
Phone: 301-779-2461
Fax: 301-779-6095
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Addiction (Substance Use Disorder) 103TA0400X
Adult Mental Health 261QM0850X

* Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CENTER

NPI Number 1316126121
Legal business name
LBN
FAMILY HEALTH CENTER
Authorized official BRUKE TADESSE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/29/2007
Last updated 12/07/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: LC0295
  • MD Medicaid: 410291600

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FAMILY HEALTH CENTER

There are currently no reviews for FAMILY HEALTH CENTER


NPIdb - Home
v2.201