IDEAL TELEMEDICINE SERVICES, LLC – NPI #1881107282
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

IDEAL TELEMEDICINE SERVICES, LLC is an AHC clinic located in WALDORF, MD. NPPES has assigned the NPI number 1881107282 to IDEAL TELEMEDICINE SERVICES, LLC on November 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Apr 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDEAL TELEMEDICINE SERVICES, LLC below.

NPI Profile for
IDEAL TELEMEDICINE SERVICES, LLC

NPI Number
1881107282
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDEAL TELEMEDICINE SERVICES, LLC
Primary location
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603-4805
Phone: (509) 222-1275 Fax: (509) 491-3031
Mailing address
500 SW 7TH ST STE A205
RENTON, WA 98057-2983
Phone: (877) 522-1275 Fax: (833) 888-7145
Organization Subpart
No
Authorized Official
BRIAN DAWSON
MCO
Phone: (509) 222-1275
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.