| Zion Family Practice, Llc | |
|
2616 Martin Luther King Jr Ave Se Washington DC 20020-7715 | |
| (301) 500-0779 | |
| Not Available |
| Full Name | Zion Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2616 Martin Luther King Jr Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Jarita Hagans (OWNER) |
| Authorized Official Contact | 7574127454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Family Practice, Llc Capitol Hill, 611 Pennsylvania Avenue, Se #241 Washington DC 20003 Ph: (301) 500-0779 | Zion Family Practice, Llc 2616 Martin Luther King Jr Ave Se Washington DC 20020-7715 Ph: (301) 500-0779 |
| NPI Number | 1417420621 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 1052735305 |
|---|---|
| Medicare Enrollment ID | O20200721000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417420621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jarita A Hagans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205084506 PECOS PAC ID: 8426125758 Enrollment ID: I20151119000850 |
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