Organization · Type 2 NPI

Montgomery County Maryland Government

Student Health Clinic/Center · Gaithersburg, MD

NPI number 1720429194 Active

Practice location

314 S Frederick Ave
Gaithersburg, MD 20877-2307

Call (240) 777-1571 Map

Fax (301) 284-4701

Mailing address

401 Hungerford Dr Fl 6
Rockville, MD 20850-4154

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1720429194
Entity type: Organization (Type 2)
Issued: Jul 12, 2013
Last updated: Sep 9, 2025
Status: Active
Subpart: Yes of Montgomery County Maryland Government

Other names

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Gaithersburg HS School Based Wellness Center · doing business as

Authorized official

Diana Azucena Cortez
Management
(240) 672-6758

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720429194

Montgomery County Maryland Government's National Provider Identifier is 1720429194, issued on Jul 12, 2013. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Gaithersburg, MD. The record was last updated on Sep 9, 2025.