PREVENTION &MANAGEMENT OUTREACH CLINIC INC.
NPI 1619122504
Preferred Provider Organization in Columbia, MD

Q: What is Prevention &management Outreach Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since November 19, 2008

5941 MILLRACE CT UNIT D103, COLUMBIA, MD 21045(410) 312-3126 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Prevention &management Outreach Clinic Inc. NPPES

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

PREVENTION &MANAGEMENT OUTREACH CLINIC INC. (NPI 1619122504), doing business as Prevention & Management Outreach Clinic Inc., is a healthcare organization registered as a preferred provider organization in Columbia, Maryland and active in the NPI registry since November 2008. The organization lists Lisa Bush, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619122504

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NamePREVENTION &MANAGEMENT OUTREACH CLINIC INC.

Location Address5941 MILLRACE CT UNIT D103Columbia, MD 21045-7204

Mailing Address5941 Millrace Ct Unit D103Columbia, MD 21045-7204 · (410) 312-3126

Phone(410) 312-3126

Organization SubpartYesParent: 438-31-0969

Authorized OfficialLisa BushPresident/ceo · (410) 312-3126

Enumeration DateNovember 19, 2008

✔ NPI 1619122504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Licenses✔ Licensed in MD · 0000000000✔ Licensed in MD · 30500000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

5941 MILLRACE CT UNIT D103, Columbia, MD 21045

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Other Names 1

Former Legal Business NamePrevention & Management Outreach Clinic Inc.

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 Prevention &management Outreach Clinic Inc.'s NPI number?

The NPI number for Prevention &management Outreach Clinic Inc. is 1619122504. It was assigned to this organization in the NPPES registry on November 19, 2008. The provider was formerly known as Prevention & Management Outreach Clinic Inc..

Where is Prevention &management Outreach Clinic Inc. located?

Prevention &management Outreach Clinic Inc. is located at 5941 Millrace Ct Unit D103, Columbia, MD 21045. The listed phone number is (410) 312-3126.

What is Prevention &management Outreach Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Prevention &management Outreach Clinic Inc. was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.