Provider Demographics
NPI:1487373270
Name:WEST POINTE HEALTHCARE LLC
Entity type:Organization
Organization Name:WEST POINTE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-354-3205
Mailing Address - Street 1:3406 MEADOWDALE DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2236
Mailing Address - Country:US
Mailing Address - Phone:240-354-3205
Mailing Address - Fax:
Practice Address - Street 1:3406 MEADOWDALE DR
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2236
Practice Address - Country:US
Practice Address - Phone:240-354-3205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty