ACT HEALTH INTEGRATED SERVICES, LLC (NPI# 1871088641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871088641 |
| Entity Type | Organization |
| Organization Name | ACT HEALTH INTEGRATED SERVICES, LLC |
| Practice Address |
501 N Frederick Ave Ste 300 Gaithersburg MD 20877-2507 |
| Practice Telephone | 3016795770 |
| Practice Fax Number | 2404260085 |
| Mailing Telephone | 3016795770 |
| Mailing Fax Number | 2402460085 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | MRS. MARY FOWAAH BOATENG (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 3016795770 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
R214992 | MD | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ACT HEALTH INTEGRATED SERVICES, LLC | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877-2507 |
| Street Address |
501 N FREDERICK AVE STE 300 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1982172284 | Empathic Journeys, LLC | Social Worker | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877-2507 | 2018-11-05 |
| 1205343498 | Mary Fowaah Boateng | Nurse Practitioner | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2018-01-09 |
| 1992231609 | Tri-state Family Medicine & Behavioral Health, LLC | Nurse Practitioner | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877-2507 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| 1518206952 | Othea Yvonne Mcalpine | Counselor | 430 Allied Place Apt. 1225, Gaithersburg, MD 20877 | 2013-02-05 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972103 | The Freedom Center, LLC/ Group | Clinic/Center | 202 Perry Pkwy Ste 5, Gaithersburg, MD 20877-2172 | 2020-01-30 |
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| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.