| Veterans Administration Medical Center | |
|
29431 Charlotte Hall Road Vamc Clinic Charlotte Hall MD 20622 | |
| (301) 884-7102 | |
| Not Available |
| Full Name | Veterans Administration Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 29431 Charlotte Hall Road, Charlotte Hall, Maryland |
| Authorized Official Name and Position | Veronica Denise Randolph (ADULT NURSE PRACTITIONER) |
| Authorized Official Contact | 3018847902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Administration Medical Center Po Box 296 Clinton MD 20735 Ph: (301) 996-7709 | Veterans Administration Medical Center 29431 Charlotte Hall Road Vamc Clinic Charlotte Hall MD 20622 Ph: (301) 884-7102 |
| NPI Number | 1669579025 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669579025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R110705 (Maryland) | Primary |
Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622 Phone: 301-717-3190 | |
Medstar Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37767 Market Dr, Charlotte Hall, MD 20622 Phone: 301-290-1499 |