# PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487300752
- **Legal business name:** PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
- **Authorized official:** MATHIAS C BAMA MD (OWNER)
- **Authorized official phone:** (301) 483-3333

## Contact information

- **Practice address:** 13922 BALTIMORE AVE, LAUREL, MD 20707-5009
- **Practice address phone:** (301) 483-3333
- **Practice address fax:** (301) 483-3336
- **Mailing address:** 13922 BALTIMORE AVE, LAUREL, MD 20707-5009
- **Mailing address phone:** (301) 483-3333
- **Mailing address fax:** (301) 483-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 03/10/2022