Organization · Type 2 NPI
Department of State
Health Service Clinic/Center · Washington, DC
NPI number
1295810117
Active
Practice location
Department Of State, 2401 E Street NW, M/med/qi, SA-1
Washington, DC 20522-0102
Fax (202) 663-3247
Mailing address
2160 Freetown Pl
Dulles, VA 20189-2160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 6695 (TN) |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1295810117
Department of State's National Provider Identifier is 1295810117, issued on Oct 26, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Washington, DC. The record was last updated on Aug 22, 2020.