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NPI Code Detail

MEDICARE: BREAST CARE FOR WASHINGTON

MEDICARE: BREAST CARE FOR WASHINGTON
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
1261QR0207XMobile Mammography Clinic/Center
2261QR0206XMammography Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1285988782
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREAST CARE FOR WASHINGTON
Provider Business Mailing Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-465-7164
Fax Number : 202-905-0159
Provider Business Practice Location Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-465-7164
Fax Number : 202-905-0159
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : REGINA HAMPTON
Credential :
Telephone Number : 301-552-7805
Provider Enumeration Date : 11/05/2012
Last Update Date : 09/21/2023

Similar Medicare Providers

1013394295 — BREAST CARE FOR WASHINGTON
Practice Location Address:
4 ATLANTIC ST SW
WASHINGTON, DC
20032-2350
Practice Phone: 202-465-7164
Practice Fax: 202-465-9050
1275232746 — BAYYINAH MUHAMMAD CNM, WHNP-BC, IBCLC
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1982267167 — ELIZABETH MATUSOFF LPC, LCPC, NCC
Practice Location Address:
4 ATLANTIC ST SW
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Practice Phone: 202-407-3080
Practice Fax:
1215008677 — ALSAN BELLARD MD
Practice Location Address:
4 ATLANTIC ST SW
WASHINGTON, DC
20032-2350
Practice Phone: 202-540-9857
Practice Fax: 202-232-8494
1104142629 — DR. CARMELLE TABITHA NORICE-TRA MD-PHD
Practice Location Address:
4 ATLANTIC ST SW
WASHINGTON, DC
20032-2350
Practice Phone: 202-407-7747
Practice Fax:
1457651580 — MS. JACQUELINE MAXINE WILLIAMS D.D.S
Practice Location Address:
4 ATLANTIC ST SW , DENTAL OFFICE
WASHINGTON, DC
20032-2350
Practice Phone: 202-540-9857
Practice Fax: 202-540-9857

Directions to “BREAST CARE FOR WASHINGTON ” Practice Location

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