# ETHIO-AMERICAN HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477794576
- **Authorized official:** PAIGE SMITH (BILLING MANAGER)
- **Authorized official phone:** (301) 509-4091

## Contact information

- **Practice address:** 4515 14TH ST NW, WASHINGTON, DC 20011-4358
- **Practice address phone:** (202) 607-1763
- **Mailing address:** PO BOX 21425, WASHINGTON, DC 20009-0925
- **Mailing address phone:** (202) 607-1763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD034563 | DC | Yes |
| 207RI0200X | Infectious Disease Physician | MD034616 | DC | — |
| 208000000X | Pediatrics Physician | MD035167 | DC | — |

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 03/19/2009