| Proximity Health Care Services Llc | |
|
8204 Red Gate Ct Bowie MD 20715-3368 | |
| (240) 486-2949 | |
| (301) 262-7890 |
| Full Name | Proximity Health Care Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8204 Red Gate Ct, Bowie, Maryland |
| Authorized Official Name and Position | Elizabeth Adeyemi (PROVIDER) |
| Authorized Official Contact | 2404862949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proximity Health Care Services Llc 8204 Red Gate Ct Bowie MD 20715-3368 Ph: (240) 486-2949 | Proximity Health Care Services Llc 8204 Red Gate Ct Bowie MD 20715-3368 Ph: (240) 486-2949 |
| NPI Number | 1396466710 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/05/2022 |
| Medicare PECOS PAC ID | 2365810504 |
|---|---|
| Medicare Enrollment ID | O20221121000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396466710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063093789 PECOS PAC ID: 3274901418 Enrollment ID: I20221121000528 |
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