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Organization
COMMUNITY INTEGRATED CARE MANAGEMENT
Active
Organization
COMMUNITY INTEGRATED CARE MANAGEMENT
Active
Other names
Medical Doctor Call
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCCONNELL (COO)
(703) 955-0544
Entity
Organization
Contact information
Practice address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 269-4511
(202) 269-3895
Mailing address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 269-4511
(202) 269-3895
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2007
Last updated
02/27/2018
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