| Generational Health Community Clinic | |
|
617 Rhode Island Ave Ne Ste D Washington DC 20002-1299 | |
| (202) 486-1152 | |
| Not Available |
| Full Name | Generational Health Community Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 617 Rhode Island Ave Ne Ste D, Washington, District Of Columbia |
| Authorized Official Name and Position | Kimberly M Burris (WOUND CARE ASSOCIATE) |
| Authorized Official Contact | 2024861152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generational Health Community Clinic 617 Rhode Island Ave Ne Ste D Washington DC 20002-1299 Ph: (202) 486-1152 | Generational Health Community Clinic 617 Rhode Island Ave Ne Ste D Washington DC 20002-1299 Ph: (202) 486-1152 |
| NPI Number | 1245951276 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245951276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
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