Organization
MANSFIELD KASEMAN HEALTH CLINIC, LLC
Active
Parent organization
COMMUNITY REACH OF MONTGOMERY COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY REACH OF MONTGOMERY COUNTY
Authorized official
SARAH BASEHART (EXECUTIVE DIRECTOR)
(301) 917-6806
Entity
Organization
Contact information
Practice address
9420 KEY WEST AVE STE 400, ROCKVILLE, MD 20850-6327
(301) 917-6800
(301) 917-6810
Mailing address
9420 KEY WEST AVE STE 400, ROCKVILLE, MD 20850-6327
(301) 917-6800
(301) 917-6810
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC000765
MD
261Q00000X
Clinic/Center
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—
Other
Enumeration date
10/24/2013
Last updated
11/22/2024
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