La Clinica Del Pueblo | |
3166 Mount Pleasant St Nw Washington DC 20010 | |
(202) 462-4788 | |
(202) 667-3706 |
Full Name | La Clinica Del Pueblo |
---|---|
Speciality | Clinic/center |
Location | 3166 Mount Pleasant St Nw, Washington, District Of Columbia |
Authorized Official Name and Position | Joanie Clement Rodrick (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2024640141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Clinica Del Pueblo 2831 15th Street Nw Washington DC 20009 Ph: (202) 462-4788 | La Clinica Del Pueblo 3166 Mount Pleasant St Nw Washington DC 20010 Ph: (202) 462-4788 |
NPI Number | 1215485396 |
---|---|
Provider Enumeration Date | 09/16/2016 |
Last Update Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215485396 | NPI | - | NPPES |
85518500 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 52194XXXX650001047 (District Of Columbia) | Primary |
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