| Prince Wend Medical And Health Care Center | |
|
4650 Livingston Rd Se Washington DC 20032-3136 | |
| (202) 563-0300 | |
| (202) 558-5537 |
| Full Name | Prince Wend Medical And Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4650 Livingston Rd Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Josephine Chinyere Ignis (DIRECTOR) |
| Authorized Official Contact | 2025630300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Wend Medical And Health Care Center 4650 Livingston Rd Se Washington DC 20032-3136 Ph: (202) 563-0300 | Prince Wend Medical And Health Care Center 4650 Livingston Rd Se Washington DC 20032-3136 Ph: (202) 563-0300 |
| NPI Number | 1821221656 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Medicare PECOS PAC ID | 5890822050 |
|---|---|
| Medicare Enrollment ID | O20100420000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821221656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Josephine C Ignis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891954053 PECOS PAC ID: 7315081304 Enrollment ID: I20100215000034 |
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