MEDICARE: CITY COLLEGIATE PUBLIC CHARTER SCHOOL

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1336391283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY COLLEGIATE PUBLIC CHARTER SCHOOL

Provider Business Mailing Address
First Line	:	2001 S ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-1125
Country	:	US
Telephone Number	:	202-339-9494
Fax Number	:	202-339-9784

Provider Business Practice Location Address
First Line	:	2001 S ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-1125
Country	:	US
Telephone Number	:	202-339-9494
Fax Number	:	202-339-9784

Authorized Official
Title or Position	:	CFO
Name	:	JULIA WESTFALL
Credential	:
Telephone Number	:	202-339-9494

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	10/22/2008

Similar Medicare Providers

1154649473 — MS. JULIANA MOSS SNAPP LCSW, LICSW
Practice Location Address:

1555 CONNECTICUT AVE NW STE 300W
WASHINGTON, DC
20036-1125

Practice Phone: 202-410-5677
Practice Fax:

1881022747 — ANA CRISTINA RIVAS VERAY PSY.D
Practice Location Address:

1125 NEW JERSEY AVE NW , 200
WASHINGTON, DC
20001-1365

Practice Phone: 202-480-0855
Practice Fax:

1972576106 — LINDA FEARN MD
Practice Location Address:

NE 1125 WASHINGTON ST , WASHINGTON STATE UNIVERSITY
PULLMAN, WA
99164-0001

Practice Phone: 509-335-3575
Practice Fax:

1164495388 — STEVEN COX
Practice Location Address:

NE 1125 WASHINGTON AVE. , WASHINGTON STATE UNIVERSITY
PULLMAN, WA
99164-0001

Practice Phone: 509-335-3575
Practice Fax:

1255304499 — AURORA HORSTKAMP MD
Practice Location Address:

NE 1125 WASHINGTON ST , WASHINGTON STATE UNIVERSITY
PULLMAN, WA
99164-0001

Practice Phone: 509-335-3575
Practice Fax:

1497728646 — MARTHA HUNT MD
Practice Location Address:

NE 1125 WASHINGTON ST , WASHINGTON STATE UNIVERSITY
PULLMAN, WA
99164-0001

Practice Phone: 509-335-3575
Practice Fax:

Directions to “CITY COLLEGIATE PUBLIC CHARTER SCHOOL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.