MARY'S CENTER FOR MATERNAL AND CHILD CARE INC. NPI 1033461132

NPI Information

MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. is a federally qualified health center (fqhc) clinic center in Washington, DC. MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. NPI is 1033461132. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mary's Center For Maternal And Child Care, Inc..

The provider's business location address is:

3531 GEORGIA AVE NW
WASHINGTON, DC
ZIP 20010-707
Phone: (202) 727-0338

The provider's authorized official is Carolina Carvajal .
The authorized official title is Hr and has the following contact phone number (202) 420-7141.

The CLIA number assigned to this NPI record is 09D2019928 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/12/2012 and was last updated on 2/1/2013.

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:

Other Identifiers

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

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