Organization
PREMIER CHOICE PRIMARY & URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA & TAIEB BACCOUCHE MBA (CEO)
(240) 432-8025
Entity
Organization
Contact information
Practice address
12301 OLD COLUMBIA PIKE STE 100A, SILVER SPRING, MD 20904-1659
(240) 855-4923
Mailing address
12301 OLD COLUMBIA PIKE STE 100A, SILVER SPRING, MD 20904-1659
(240) 855-4923
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/22/2021
Last updated
01/16/2024
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