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
273R00000X
Psychiatric Hospital Unit
Primary
HFDO1-0198
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09S008
MEDICARE PSYCH UNIT
—
Enumeration date
12/31/2007
Last updated
05/21/2009
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