OrganizationActive
Montgomery County Maryland Government
NPI 1710689500 · State or Local Public Health Clinic/Center · Gaithersburg, MD
Provider details
- NPI number
- 1710689500
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Montgomery County School Based Health Center
- Organization subpart
- Yes
- Authorized official
- Diana Cortez, Management(240) 672-6758
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
18201 Contour Rd
Gaithersburg, MD 20877-2601
Phone: (240) 740-7330
Fax: (301) 548-4966
Street-level locationGet directions
Mailing address
401 Hungerford Dr Fl 6
Rockville, MD 20850-4154
Other names (DBA / former)
- Other name
- Sbhc South Lake Es
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.