His Faithfulness Family Clinic Inc | |
6188 Oxon Hill Rd Ste 301 Oxon Hill MD 20745-3157 | |
(301) 485-8151 | |
(301) 485-8191 |
Full Name | His Faithfulness Family Clinic Inc |
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Speciality | Nurse Practitioner |
Location | 6188 Oxon Hill Rd Ste 301, Oxon Hill, Maryland |
Authorized Official Name and Position | Olivia Mbah (ADMINISTRATOR) |
Authorized Official Contact | 3012572314 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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His Faithfulness Family Clinic Inc 6188 Oxon Hill Rd Ste 301 Oxon Hill MD 20745-3157 Ph: (301) 485-8151 | His Faithfulness Family Clinic Inc 6188 Oxon Hill Rd Ste 301 Oxon Hill MD 20745-3157 Ph: (301) 485-8151 |
NPI Number | 1164030102 |
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Provider Enumeration Date | 07/15/2020 |
Last Update Date | 06/29/2022 |
Medicare PECOS PAC ID | 5496175192 |
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Medicare Enrollment ID | O20201019002541 |
Identifier | Type | State | Issuer |
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1164030102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Olivia Mbuanobe Mbah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497229850 PECOS PAC ID: 1850710401 Enrollment ID: I20200930002725 |
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