# CNMC CLINIC AT COOLIDGE HS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538605852
- **Legal business name:** CHILDREN'S HOSPITAL
- **Authorized official:** SUSAN M. PDWNNIF (SENIOR MANAGER)
- **Authorized official phone:** (202) 476-4447

## Contact information

- **Practice address:** 6315 5TH ST NW, WASHINGTON, DC 20011-1325
- **Practice address phone:** (202) 476-4447
- **Mailing address:** PO BOX 37215, BALTIMORE, MD 21297-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2017
- **Last updated:** 12/18/2017