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Organization

WHITMAN-WALKER CLINIC, INC

Active
Parent organization
WHITMAN-WALKER CLINIC, INC
Other names
Whitman-Walker Health, Whitman-Walker Health,Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITMAN-WALKER CLINIC, INC
Authorized official
MR. FELICIA DAVIS (CREDENTIALING)
(202) 797-4428
Entity
Organization

Contact information

Practice address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-7000
(202) 797-3504
Mailing address
1377 R ST NW, WASHINGTON, DC 20009-6293
(202) 745-7000
(202) 797-3504

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
MD33659
DC
261QC1500X
Community Health Clinic/Center
261QD0000X
Dental Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022385400
DC
05
034298100
DC
05
038798600
DC
05
038947600
DC
Enumeration date
08/19/2005
Last updated
03/19/2024
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