BREAST CARE FOR WASHINGTON NPI 1013394295

NPI Information

NPI: 1013394295
Provider Name: BREAST CARE FOR WASHINGTON
Classification: Clinic/Center - 261QR0207X
Entity Type: Organization

Specialization: Radiology, Mobile Mammography

Address:
4 ATLANTIC ST SW
WASHINGTON, DC
ZIP 20032
Phone: (202) 465-7164
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BREAST CARE FOR WASHINGTON is a radiology and mobile mammography clinic center in Washington, DC. BREAST CARE FOR WASHINGTON NPI is 1013394295. The provider is registered as an organization entity type.

The provider's business location address is:

4 ATLANTIC ST SW
WASHINGTON, DC
ZIP 20032-350
Phone: (202) 465-7164
Fax: (202) 465-9050

The provider's authorized official is Regina Hampton .
The authorized official title is Medical Officer and has the following contact phone number (301) 552-7805.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0206X	Clinic/Center	Radiology, Mammography			No
2	261QR0207X	Clinic/Center	Radiology, Mobile Mammography			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	424045600	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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