| Capitol Primary Care | |
|
1100 H St Nw Ste 1100 Washington DC 20005-5967 | |
| (202) 810-7822 | |
| Not Available |
| Full Name | Capitol Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 H St Nw Ste 1100, Washington, District Of Columbia |
| Authorized Official Name and Position | Richard Mcclendon (OWNER) |
| Authorized Official Contact | 2024361880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Primary Care 1100 H St Nw Ste 1100 Washington DC 20005-5967 Ph: (202) 810-7822 | Capitol Primary Care 1100 H St Nw Ste 1100 Washington DC 20005-5967 Ph: (202) 810-7822 |
| NPI Number | 1568130607 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 10/07/2025 |
| Medicare PECOS PAC ID | 9436547247 |
|---|---|
| Medicare Enrollment ID | O20211028000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568130607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard A Mcclendon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467574038 PECOS PAC ID: 2668569500 Enrollment ID: I20071024000644 |
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