Organization
NOT-FOR-PROFIT HOSPITAL CORPORATION
Active
Other names
United Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHINOR L COLLICK JR. RN (MEDICAL PRACTICE ADMINISTRATOR)
(202) 574-6933
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032
(202) 688-4677
(202) 574-7188
Mailing address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 688-4677
(202) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092342700
—
DC
05
—
414011700
—
MD
Enumeration date
09/14/2010
Last updated
08/29/2018
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