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
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
02/27/2018
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