| Cnmc Clinic At Ballou Hs | |
|
3401 4th St Se Washington DC 20032-5406 | |
| (202) 476-4447 | |
| Not Available |
| Full Name | Cnmc Clinic At Ballou Hs |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 3401 4th St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Susan M. Pfennig (SENIOR MANAGER) |
| Authorized Official Contact | 2024764447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnmc Clinic At Ballou Hs Po Box 37215 Baltimore MD 21297-3215 Ph: () - | Cnmc Clinic At Ballou Hs 3401 4th St Se Washington DC 20032-5406 Ph: (202) 476-4447 |
| NPI Number | 1861938177 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861938177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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