Healthcare Provider Details

I. General information

NPI: 1407991037
Provider Name (Legal Business Name): CHARTERED FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 MINNESOTA AVE NE
WASHINGTON DC
20019-2661
US

IV. Provider business mailing address

3924 MINNESOTA AVE NE
WASHINGTON DC
20019-2661
US

V. Phone/Fax

Practice location:
  • Phone: 202-398-8683
  • Fax: 202-627-7815
Mailing address:
  • Phone: 202-398-8683
  • Fax: 202-627-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM WEIR
Title or Position: COMPTROLLER
Credential:
Phone: 202-627-7843