| Mary's Center For Maternal And Child Care, Inc. | |
|
508 Kennedy St Nw Washington DC 20011-3010 | |
| (202) 483-8196 | |
| Not Available |
| Full Name | Mary's Center For Maternal And Child Care, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 508 Kennedy St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Carolina Carvajal (HR) |
| Authorized Official Contact | 2024207141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary's Center For Maternal And Child Care, Inc. 2333 Ontario Rd Nw Washington DC 20009-2627 Ph: (202) 483-8196 | Mary's Center For Maternal And Child Care, Inc. 508 Kennedy St Nw Washington DC 20011-3010 Ph: (202) 483-8196 |
| NPI Number | 1932452406 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932452406 | NPI | - | NPPES |
| 037564900 | Medicaid | DC | |
| 037536500 | Medicaid | DC | |
| 039315100 | Medicaid | MD | |
| 411949500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mary's Center For Maternal And Child Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Taylor St Nw, Washington, DC 20011 Phone: 202-464-9200 | |
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H L Yoon, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 Martin Luther King Jr., Ave, S.e., Washington, DC 20020 Phone: 202-678-4940 Fax: 202-678-9703 | |
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