Ft Meade Meddac
NPI 1164507703 · Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Fort Meade, MD
Ft Meade Meddac is a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center organization in Fort Meade, MD (NPI 1164507703).
Provider details
- NPI number
- 1164507703
- Entity type
- Organization
- Primary specialty
- Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ft Meade Meddac
- Organization subpart
- Yes
- Authorized official
- Terri Kimbrow, Ubo Manager(301) 677-8512
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Kimbrough Ambulatory Care Center-Meade
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Ft Meade Meddac's NPI number?
- Ft Meade Meddac's National Provider Identifier (NPI) is 1164507703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ft Meade Meddac?
- Ft Meade Meddac is classified in the NPPES registry as Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ft Meade Meddac located?
- Ft Meade Meddac's practice location on file with NPPES is 2480 Llewellyn Ave, Fort Meade, MD 20755-5800.
- What is Ft Meade Meddac's phone number?
- The practice phone number listed in the NPPES registry for Ft Meade Meddac is (301) 677-8800.
- Who is the authorized official for Ft Meade Meddac?
- The authorized official listed on Ft Meade Meddac's NPPES record is Terri Kimbrow, Ubo Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ft Meade Meddac's NPI active?
- Yes — Ft Meade Meddac's NPI (1164507703) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.