Organization
GREATER SOUTHEAST COMMUNITY HOSPITAL CORP I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRIL ALLEN M.D. (ADMINSTRATOR)
(202) 574-6611
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
(202) 279-7412
Mailing address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
(202) 279-7412
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HFD01-0198
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03352860
—
DC
Enumeration date
11/14/2006
Last updated
08/22/2020
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