Capitol Primary Care | |
1331 H St Nw Washington DC 20005-4706 | |
(202) 810-7822 | |
Not Available |
Full Name | Capitol Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 1331 H St Nw, Washington, District Of Columbia |
Authorized Official Name and Position | Richard Mcclendon (OWNER) |
Authorized Official Contact | 2024361880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Capitol Primary Care 1331 H St Nw Washington DC 20005-4706 Ph: (202) 810-7822 | Capitol Primary Care 1331 H St Nw Washington DC 20005-4706 Ph: (202) 810-7822 |
NPI Number | 1568130607 |
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Provider Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 9436547247 |
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Medicare Enrollment ID | O20211028000504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568130607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Richard A Mcclendon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467574038 PECOS PAC ID: 2668569500 Enrollment ID: I20071024000644 |
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