Prevention &management Outreach Clinic Inc.
NPI 1619122504ActiveOrganization· Preferred Provider Organization· Columbia, MD
Preferred Provider Organization in Columbia, Maryland, registered in NPPES in November 2008. The authorized official on file is Lisa Bush, President/Ceo.
Overview
| NPI | 1619122504 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| NPI issued | Nov 19, 2008 |
| Last updated in NPPES | Nov 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
| Preferred Provider Organization | 305R00000X | — | MD |
| Preferred Provider Organization | 305R00000X | 0000000000 | MD |
| Preferred Provider Organization | 305R00000X | 30500000X | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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