District Healthcare Services, Llc | |
2811 Pennsylvania Ave Se Ste Ll Washington DC 20020-3865 | |
(202) 894-6811 | |
(202) 894-6811 |
Full Name | District Healthcare Services, Llc |
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Speciality | Community/Behavioral Health |
Location | 2811 Pennsylvania Ave Se Ste Ll, Washington, District Of Columbia |
Authorized Official Name and Position | Agnes Ernest Masawe (CEO) |
Authorized Official Contact | 2022552574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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District Healthcare Services, Llc 2811 Pennsylvania Ave Se Ste Ll Washington DC 20020-3865 Ph: (202) 894-6811 | District Healthcare Services, Llc 2811 Pennsylvania Ave Se Ste Ll Washington DC 20020-3865 Ph: (202) 894-6811 |
NPI Number | 1366939225 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 10/11/2024 |
Certification Date | 10/11/2024 |
Medicare PECOS PAC ID | 2163852146 |
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Medicare Enrollment ID | O20200414002888 |
Identifier | Type | State | Issuer |
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1366939225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Umar Rahman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376633321 PECOS PAC ID: 5092792713 Enrollment ID: I20040701000268 |
Provider Name | Arnetta Legree |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831143098 PECOS PAC ID: 5991770307 Enrollment ID: I20040830000601 |
Provider Name | Kurwa Nyigu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20121107000071 |
Provider Name | Esonija Shavon Fulgham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346674140 PECOS PAC ID: 6901177039 Enrollment ID: I20190307001558 |
Provider Name | Maria N Tancho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316404353 PECOS PAC ID: 4385973080 Enrollment ID: I20191030003005 |
Provider Name | Lynette E Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861948325 PECOS PAC ID: 9133547987 Enrollment ID: I20200911000071 |
Provider Name | Eric T Whitaker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225436231 PECOS PAC ID: 4284957754 Enrollment ID: I20210419000086 |
Provider Name | Francoise S Tabe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013679570 PECOS PAC ID: 0042676959 Enrollment ID: I20230519000059 |
Provider Name | Enrique Alfredo Simmons |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588097109 PECOS PAC ID: 5496072209 Enrollment ID: I20240323000249 |
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