| Columbia Road Health Services, Inc. | |
|
1660 Columbia Rd Nw Washington DC 20009-3602 | |
| (202) 328-3717 | |
| (202) 588-8101 |
| Full Name | Columbia Road Health Services, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1660 Columbia Rd Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Susan F. Riggs (INTERIM CEO) |
| Authorized Official Contact | 2023283717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Road Health Services, Inc. 1660 Columbia Rd Nw Washington DC 20009-3602 Ph: (202) 328-3717 | Columbia Road Health Services, Inc. 1660 Columbia Rd Nw Washington DC 20009-3602 Ph: (202) 328-3717 |
| NPI Number | 1942325196 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942325196 | NPI | - | NPPES |
| 022524700 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 50002698 (District Of Columbia) | Secondary |
| 261Q00000X | Clinic/center | (District Of Columbia) | Primary |
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