| Not-for-profit Hospital Corporation | |
|
1310 Southern Ave Se Washington DC 20032-4623 | |
| (202) 574-6611 | |
| (202) 574-7188 |
| Full Name | Not-for-profit Hospital Corporation |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1310 Southern Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Charleta Washington (VICE PRESIDENT) |
| Authorized Official Contact | 2025746611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Not-for-profit Hospital Corporation 1310 Southern Ave Se Washington DC 20032-4623 Ph: (202) 574-6611 | Not-for-profit Hospital Corporation 1310 Southern Ave Se Washington DC 20032-4623 Ph: (202) 574-6611 |
| NPI Number | 1396052221 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396052221 | NPI | - | NPPES |
| 414011700 | Medicaid | MD | |
| 041712800 | Medicaid | DC | |
| 1619152410 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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