| Trinity Family And Behavioral Health Services Llc | |
|
16701 Melford Blvd Ste 400 Bowie MD 20715-4411 | |
| (240) 510-3281 | |
| Not Available |
| Full Name | Trinity Family And Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16701 Melford Blvd Ste 400, Bowie, Maryland |
| Authorized Official Name and Position | Francisca Nkem Okwukogu (CEO/PRESIDENT) |
| Authorized Official Contact | 2407054527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family And Behavioral Health Services Llc 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: (240) 510-3281 | Trinity Family And Behavioral Health Services Llc 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: (240) 510-3281 |
| NPI Number | 1376160382 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 4486063617 |
|---|---|
| Medicare Enrollment ID | O20210429000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376160382 | NPI | - | NPPES |
| 14542055 | Other | CAQH |
| Provider Name | Francisca Nkem Okwukogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962055723 PECOS PAC ID: 3173955606 Enrollment ID: I20210429001175 |
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