Healthcare Provider Details

I. General information

NPI: 1578878484
Provider Name (Legal Business Name): MEDICAL FACULTY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 5TH ST NW SCHOOL HEALTH CENTER
WASHINGTON DC
20011-1325
US

IV. Provider business mailing address

2024 GEORGIA AVE NW 2ND FLOOR
WASHINGTON DC
20001-3027
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-4164
  • Fax:
Mailing address:
  • Phone: 202-595-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAMELA MCCLAIN
Title or Position: DIRECTOR OF BUSINESS OPERATIONS
Credential:
Phone: 202-741-3650