MARY'S CENTER FOR MATERNAL & CHILD CARE NPI 1417535121

NPI Information

NPI: 1417535121
Provider Name: MARY'S CENTER FOR MATERNAL & CHILD CARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 09D2118947

Address:
6315 5TH ST NW
WASHINGTON, DC
ZIP 20011
Phone: (202) 483-8196
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MARY'S CENTER FOR MATERNAL & CHILD CARE is a federally qualified health center (fqhc) clinic center in Washington, DC. MARY'S CENTER FOR MATERNAL & CHILD CARE NPI is 1417535121. The provider is registered as an organization entity type.

The provider's business location address is:

6315 5TH ST NW
WASHINGTON, DC
ZIP 20011-325
Phone: (202) 483-8196
Fax: (202) 483-0302

The provider's authorized official is Maria S. Gomez .
The authorized official title is Chief Executive Officer and has the following contact phone number (202) 276-4027.

The CLIA number assigned to this NPI record is 09D2118947 - health fair with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/1/2021 and was last updated on 4/1/2021.

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	Primary
1	261QD0000X	Clinic/Center	Dental	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No

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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