| Mary's Center For Maternal And Child Care, Inc. | |
|
1221 Taylor St Nw Washington DC 20011-5617 | |
| (202) 464-9200 | |
| Not Available |
| Full Name | Mary's Center For Maternal And Child Care, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1221 Taylor St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Carolina Carvajal (HR) |
| Authorized Official Contact | 20242070141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary's Center For Maternal And Child Care, Inc. 2333 Ontario Rd Nw Washington DC 20009-2627 Ph: (202) 483-8196 | Mary's Center For Maternal And Child Care, Inc. 1221 Taylor St Nw Washington DC 20011-5617 Ph: (202) 464-9200 |
| NPI Number | 1003168196 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003168196 | NPI | - | NPPES |
| 411949500 | Medicaid | MD | |
| 037564900 | Medicaid | DC | |
| 037536500 | Medicaid | DC | |
| 039315100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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