Healthcare Provider Details

I. General information

NPI: 1649485038
Provider Name (Legal Business Name): NATIONAL CHILDREN'S CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 2ND ST NW
WASHINGTON DC
20011-1426
US

IV. Provider business mailing address

6200 2ND ST NW
WASHINGTON DC
20011-1426
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-2300
  • Fax: 202-722-2563
Mailing address:
  • Phone: 202-722-2300
  • Fax: 202-722-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MICHELE DURBIN
Title or Position: CFO
Credential:
Phone: 202-722-2356