PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC – NPI #1487300752
Clinic/Center

PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC is an AHC clinic located in LAUREL, MD. NPPES has assigned the NPI number 1487300752 to PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC on February 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Mar 10, 2022. 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 PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC below.

NPI Profile for
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC

NPI Number
1487300752
Enumeration Date

(more than 4 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
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Primary location
13922 BALTIMORE AVE
LAUREL, MD 20707-5009
Phone: (301) 483-3333 Fax: (301) 483-3336
Mailing address
Same as primary location
Organization Subpart
Yes - PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC is subpart of another organization.
Authorized Official
MATHIAS BAMA
OWNER
Phone: (301) 483-3333
Updated
Certification Date
Mar 10, 2022

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
261QU0200X
- Clinic/Center / Urgent Care (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.