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NPI Code Detail

MEDICARE: WHITMAN-WALKER CLINIC, INC

MEDICARE: WHITMAN-WALKER CLINIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterMD33659DC
2261Q00000XClinic/Center
3261QC1500XCommunity Health Clinic/Center
4261QD0000XDental Clinic/Center
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6261QM0850XAdult Mental Health Clinic/Center
7261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184616617
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITMAN-WALKER CLINIC, INC
Provider Business Mailing Address
First Line : 1377 R ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-6293
Country : US
Telephone Number : 202-745-7000
Fax Number : 202-797-3504
Provider Business Practice Location Address
First Line : 1525 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-3706
Country : US
Telephone Number : 202-745-7000
Fax Number : 202-797-3504
Authorized Official
Title or Position : CREDENTIALING
Name : MR. FELICIA DAVIS
Credential :
Telephone Number : 202-797-4428
Provider Enumeration Date : 08/19/2005
Last Update Date : 03/19/2024

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Directions to “WHITMAN-WALKER CLINIC, INC ” Practice Location

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