| Greater Southeast Community Hospital Corp I | |
|
1310 Southern Ave Se Washington DC 20032-4623 | |
| (202) 574-6000 | |
| (202) 279-7412 |
| Full Name | Greater Southeast Community Hospital Corp I |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1310 Southern Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Paul R. Tuft (PRESIDENT) |
| Authorized Official Contact | 4803481099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Southeast Community Hospital Corp I 1310 Southern Ave Se Washington DC 20032-4623 Ph: (202) 574-6000 | Greater Southeast Community Hospital Corp I 1310 Southern Ave Se Washington DC 20032-4623 Ph: (202) 574-6000 |
| NPI Number | 1568514115 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568514115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | HFD01-0198 (District Of Columbia) | Primary |
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