| Affordable Medical Clinic Llc | |
|
6475 New Hampshire Ave Ste 430 Hyattsville MD 20783-3277 | |
| (240) 670-8305 | |
| (240) 670-8306 |
| Full Name | Affordable Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6475 New Hampshire Ave Ste 430, Hyattsville, Maryland |
| Authorized Official Name and Position | Josephine Chibogu Emeagwali (CEO) |
| Authorized Official Contact | 3014127990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Medical Clinic Llc 6475 New Hampshire Ave Ste 430 Hyattsville MD 20783-3277 Ph: (240) 670-8305 | Affordable Medical Clinic Llc 6475 New Hampshire Ave Ste 430 Hyattsville MD 20783-3277 Ph: (240) 670-8305 |
| NPI Number | 1740891217 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740891217 | NPI | - | NPPES |
| 099825600 | Medicaid | DC | |
| 422722100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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