# PREMIER CHOICE PRIMARY & URGENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821758442
- **Authorized official:** CLARA & TAIEB BACCOUCHE MBA (CEO)
- **Authorized official phone:** (240) 432-8025

## Contact information

- **Practice address:** 12301 OLD COLUMBIA PIKE STE 100A, SILVER SPRING, MD 20904-1659
- **Practice address phone:** (240) 855-4923
- **Mailing address:** 12301 OLD COLUMBIA PIKE STE 100A, SILVER SPRING, MD 20904-1659
- **Mailing address phone:** (240) 855-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 01/16/2024