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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Prevention &Management Outreach Clinic Inc.

Preferred Provider Organization in Columbia, MD · enumerated 2008 · authorized official Lisa Bush, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619122504

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Registry record

Entity type Organization (Type 2)
Legal business name Prevention &Management Outreach Clinic Inc.
Other name <Unavail>
Parent organization 438-31-0969
Practice address 5941 Millrace Ct Unit D103, Columbia, MD, 21045
Phone (410) 312-3126
Enumeration date Nov 19, 2008
Last updated in NPPES Nov 19, 2008

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations Primary
305R00000X Preferred Provider Organization Managed Care Organizations Secondary
305R00000X Preferred Provider Organization Managed Care Organizations · License 0000000000 (MD) Secondary
305R00000X Preferred Provider Organization Managed Care Organizations · License 30500000X (MD) Secondary

Authorized official

Name Lisa Bush
Title President/Ceo
Phone (410) 312-3126

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prevention &Management Outreach Clinic Inc.?
The NPI for Prevention &Management Outreach Clinic Inc. is 1619122504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prevention &Management Outreach Clinic Inc.?
NPPES lists Lisa Bush (President/Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-19.