MEDICARE: FAMILY HEALTH AND BIRTH CENTER

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	261QB0400X	Birthing Clinic/Center	HFD10-0001	DC

General Provider Information

NPI Number	:	1801949086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH AND BIRTH CENTER

Provider Business Mailing Address
First Line	:	801 17TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7200
Country	:	US
Telephone Number	:	202-398-5520
Fax Number	:	202-396-6953

Provider Business Practice Location Address
First Line	:	801 17TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7200
Country	:	US
Telephone Number	:	202-398-5520
Fax Number	:	202-396-6953

Authorized Official
Title or Position	:	GENERAL DIRECTOR
Name	:	MRS. DIANA JOLLES
Credential	:
Telephone Number	:	202-398-5520

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	04/02/2008

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