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FT MEADE MEDDAC
NPI 1164507703
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Fort Meade, MD

Active since October 25, 2006
2480 LLEWELLYN AVE, FORT MEADE, MD 20755(301) 677-8800 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ft Meade Meddac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FT MEADE MEDDAC (NPI 1164507703) is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Fort Meade, Maryland and active in the NPI registry since October 2006. The organization lists Terri Kimbrow, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1164507703
Entity TypeOrganization
Primary Taxonomy261QM1101X
Legal Business NameFT MEADE MEDDAC
Location Address2480 LLEWELLYN AVEFort Meade, MD 20755-5800
Mailing Address2480 Llewellyn Ave, Cdr Usameddac Mcxr-bd Ste 5800Fort Meade, MD 20755-7081 · (301) 677-8800
Phone(301) 677-8800
Organization SubpartYes
Authorized OfficialTerri KimbrowUbo Manager · (301) 677-8512
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1164507703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities
Taxonomy Code261QM1101X
Definition
That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.
Also ListedClinic/Center · Military/U.S. Coast Guard OutpatientTaxonomy 261QM1100X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
2480 LLEWELLYN AVE, Fort Meade, MD 20755
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Other Names 1

Other NameKimbrough Ambulatory Care Center-meade

Other Identifiers 3

OtherAN2598588Medco
Other02DTBcbs Federal
Other1447357298 / 2125284Pharmacy Npi/ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOANNE HILL RN
Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8854
JENNIE LINN WILLIAMS
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Anne Arundel County (301) 677-8741
GILBERT CARL LONG LVN
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8270
JANNA LAMBSON O.D.
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8813
PATRICIA GINDLESBERGER
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-9530
MS. LAUREN MICHELE ABBOTT PA
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (410) 436-3001
MRS. YOLANDA NICOLE NELSON
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8949
SHELIA FAYE RAMSEY-CALDWELL LCSW-C
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ft Meade Meddac's NPI number?

The NPI number for Ft Meade Meddac is 1164507703. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is also known as Kimbrough Ambulatory Care Center-Meade.

Where is Ft Meade Meddac located?

Ft Meade Meddac is located at 2480 Llewellyn Ave, Fort Meade, MD 20755. The listed phone number is (301) 677-8800.

What is Ft Meade Meddac's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

When was this NPI record last updated?

The NPPES record for Ft Meade Meddac was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.