| Meridian Health And Behavioral Services Llc | |
|
6801 Kenilworth Ave Ste 300-s2 Riverdale MD 20737-1331 | |
| (240) 687-2892 | |
| Not Available |
| Full Name | Meridian Health And Behavioral Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6801 Kenilworth Ave Ste 300-s2, Riverdale, Maryland |
| Authorized Official Name and Position | Eva K Ogbuokiri (PROVIDER) |
| Authorized Official Contact | 4068725902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Health And Behavioral Services Llc 6801 Kenilworth Ave Ste 300-s2 Riverdale MD 20737-1331 Ph: (240) 687-2892 | Meridian Health And Behavioral Services Llc 6801 Kenilworth Ave Ste 300-s2 Riverdale MD 20737-1331 Ph: (240) 687-2892 |
| NPI Number | 1659936847 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 7315371184 |
|---|---|
| Medicare Enrollment ID | O20200103000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659936847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eva K Ogbuokiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982052098 PECOS PAC ID: 3274873740 Enrollment ID: I20190320002054 |
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