# CAPITOL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619152410
- **Authorized official:** MR. JOHN MONTOIS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (202) 574-6837

## Contact information

- **Practice address:** 1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
- **Practice address phone:** (202) 574-6837
- **Practice address fax:** (202) 574-7188
- **Mailing address:** 1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
- **Mailing address phone:** (202) 574-6837
- **Mailing address fax:** (202) 574-7188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | HFD01-0198 | DC | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 05/21/2009
