Organization
LA CLINICA DEL PUEBLO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAELA ACUNA (PATIENT REVENUE MANAGER)
(240) 582-8828
Entity
Organization
Contact information
Practice address
2831 15TH STREET NW, WASHINGTON, DC 20009-4607
(202) 462-4788
(202) 332-0085
Mailing address
2831 15TH STREET NW, WASHINGTON, DC 20009-4607
(202) 462-4788
(202) 332-0085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
52194XXXX650001047
DC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/16/2007
Last updated
10/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us