Organization
CAPITOL MEDICAL CENTER LLC
Active
Other names
United Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MONTOIS (CHIEF FINANCIAL OFFICER)
(202) 574-6837
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6837
(202) 574-7188
Mailing address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6837
(202) 574-7188
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
—
033528600
—
DC
05
—
033825900
—
DC
05
—
1619152410
—
VA
05
—
414011700
—
MD
Enumeration date
12/31/2007
Last updated
05/21/2009
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