Healthcare Provider Details

I. General information

NPI: 1992805022
Provider Name (Legal Business Name): GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 14TH ST NW SUITE 500
WASHINGTON DC
20009-4473
US

IV. Provider business mailing address

PO BOX 717767
PHILADELPHIA PA
19171-7767
US

V. Phone/Fax

Practice location:
  • Phone: 202-673-3320
  • Fax: 202-462-0807
Mailing address:
  • Phone: 833-532-2198
  • Fax: 614-987-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ANDREW RONALD BEATON
Title or Position: EMS ADMINISTRATOR
Credential:
Phone: 202-727-5225