1821233487 NPI number — SPRING FAMILY MEDICAL CENTER P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821233487 NPI number — SPRING FAMILY MEDICAL CENTER P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPRING FAMILY MEDICAL CENTER P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821233487
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8630 FENTON ST STE 900
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20910-3810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-562-7764
Provider Business Mailing Address Fax Number:
301-562-0884

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8630 FENTON ST STE 900
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20910-3810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-562-7764
Provider Business Practice Location Address Fax Number:
301-562-0884
Provider Enumeration Date:
12/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BENNETT
Authorized Official First Name:
OLIVER
Authorized Official Middle Name:
MOSES
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
301-562-7764

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  D52883 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com