| Arise Health Clinic | |
|
10705 Charter Dr Ste 430 Columbia MD 21044-2870 | |
| (301) 259-3574 | |
| Not Available |
| Full Name | Arise Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 10705 Charter Dr Ste 430, Columbia, Maryland |
| Authorized Official Name and Position | Blanche C Kattie (PRESIDENT) |
| Authorized Official Contact | 3012593574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Health Clinic 10705 Charter Dr Ste 430 Columbia MD 21044-2870 Ph: (301) 259-3574 | Arise Health Clinic 10705 Charter Dr Ste 430 Columbia MD 21044-2870 Ph: (301) 259-3574 |
| NPI Number | 1881364529 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 2668862673 |
|---|---|
| Medicare Enrollment ID | O20211207000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881364529 | NPI | - | NPPES |
| Provider Name | Blanche Kattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013426824 PECOS PAC ID: 3274899711 Enrollment ID: I20191127001708 |
| Provider Name | Kasheria Nadra West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790475325 PECOS PAC ID: 4880053164 Enrollment ID: I20230705001221 |
| Provider Name | Adesola Ogin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821783051 PECOS PAC ID: 0749628592 Enrollment ID: I20240329001623 |
| Provider Name | Erik Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023865565 PECOS PAC ID: 1951843598 Enrollment ID: I20240611000698 |
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