Healthcare Provider Details

I. General information

NPI: 1508143686
Provider Name (Legal Business Name): METRO IPC CAPITOL HILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 L STREET., NE FLOOR 1
WASHINGTON DC
20002
US

IV. Provider business mailing address

220 L STREET, NE FLOOR 1
WASHINGTON DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-641-4155
  • Fax: 480-393-4089
Mailing address:
  • Phone: 202-641-4155
  • Fax: 480-393-4089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberMD20115
License Number StateDC

VIII. Authorized Official

Name: DR. ROSCOE ADAMS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-641-4155