| Mediheal Behavior Health Services Llc | |
|
2511 Baldwin Cres Ne Washington DC 20018-3849 | |
| (202) 972-6872 | |
| (202) 269-2909 |
| Full Name | Mediheal Behavior Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2511 Baldwin Cres Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Amina I Osman (PROVIDER) |
| Authorized Official Contact | 2029726872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediheal Behavior Health Services Llc 2511 Baldwin Cres Ne Washington DC 20018-3849 Ph: (202) 972-6872 | Mediheal Behavior Health Services Llc 2511 Baldwin Cres Ne Washington DC 20018-3849 Ph: (202) 972-6872 |
| NPI Number | 1740942739 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 3476944919 |
|---|---|
| Medicare Enrollment ID | O20211217000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740942739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amina Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952725152 PECOS PAC ID: 5991701419 Enrollment ID: I20160607000276 |
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