| Complete Care Medical Ctr Llc | |
|
4660 Martin Luther King Jr Ave Sw #a3 Washington DC 20032-4933 | |
| (202) 574-5136 | |
| (202) 563-5387 |
| Full Name | Complete Care Medical Ctr Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4660 Martin Luther King Jr Ave Sw, Washington, District Of Columbia |
| Authorized Official Name and Position | Anna M Thompson (OPERATING MANAGER) |
| Authorized Official Contact | 3013162009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Medical Ctr Llc 3611 Branch Ave Ste 106 Temple Hills MD 20748-1242 Ph: (301) 316-2009 | Complete Care Medical Ctr Llc 4660 Martin Luther King Jr Ave Sw #a3 Washington DC 20032-4933 Ph: (202) 574-5136 |
| NPI Number | 1801054010 |
|---|---|
| Provider Enumeration Date | 05/26/2008 |
| Last Update Date | 11/03/2016 |
| Medicare PECOS PAC ID | 0345398970 |
|---|---|
| Medicare Enrollment ID | O20090508000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801054010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Robert J Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052051 PECOS PAC ID: 2961428230 Enrollment ID: I20051017000873 |
| Provider Name | Georgia S Willie-carnegie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730298845 PECOS PAC ID: 4486670122 Enrollment ID: I20051021000201 |
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