Provider Demographics
NPI:1982239844
Name:SIMPLIFIED HEALTH CARE
Entity type:Organization
Organization Name:SIMPLIFIED HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIATU
Authorized Official - Middle Name:KADIE
Authorized Official - Last Name:KARGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-587-6592
Mailing Address - Street 1:20 S QUAKER LN STE 220
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4500
Mailing Address - Country:US
Mailing Address - Phone:703-587-6592
Mailing Address - Fax:703-370-1126
Practice Address - Street 1:20 S QUAKER LN STE 220
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4500
Practice Address - Country:US
Practice Address - Phone:703-370-1110
Practice Address - Fax:703-370-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty