CNMC CLINIC AT BALLOU HS NPI 1861938177

NPI Information

NPI: 1861938177
Provider Name: CNMC CLINIC AT BALLOU HS
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
3401 4TH ST SE
WASHINGTON, DC
ZIP 20032
Phone: (202) 476-4447
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CNMC CLINIC AT BALLOU HS is a student health clinic center in Washington, DC. CNMC CLINIC AT BALLOU HS NPI is 1861938177. The provider is registered as an organization entity type.

The provider's business location address is:

3401 4TH ST SE
WASHINGTON, DC
ZIP 20032-406
Phone: (202) 476-4447

The provider's authorized official is Susan M. Pfennig .
The authorized official title is Senior Manager and has the following contact phone number (202) 476-4447.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 12/18/2017.

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	261QD0000X	Clinic/Center	Dental			No
2	261QS1000X	Clinic/Center	Student Health			Yes

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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