| Wilde Lake High School-based Wellness Center | |
|
5460 Trumpeter Road Hchd Wilde Lake High School-based Wellness Center Columbia MD 21044-2314 | |
| (410) 313-7238 | |
| (410) 313-6108 |
| Full Name | Wilde Lake High School-based Wellness Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 5460 Trumpeter Road, Columbia, Maryland |
| Authorized Official Name and Position | Carletta Lynn Mcknight (FISCAL ACCOUNT MANAGER) |
| Authorized Official Contact | 4103136300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilde Lake High School-based Wellness Center 8930 Stanford Boulevard Howard County Health Department Columbia MD 21045-5805 Ph: (410) 313-7238 | Wilde Lake High School-based Wellness Center 5460 Trumpeter Road Hchd Wilde Lake High School-based Wellness Center Columbia MD 21044-2314 Ph: (410) 313-7238 |
| NPI Number | 1508386079 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508386079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Maryland) | Primary |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
Evergreen Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080 | |
Patient Care Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657 | |
First Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8600 Snowden River Pkwy Ste 207, Columbia, MD 21045 Phone: 301-515-2901 | |
Dr Beams Medical Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10794 Hickory Ridge Rd, Columbia, MD 21044 Phone: 443-832-9260 |