Provider Demographics
NPI:1114586484
Name:DISTRICT URGENT CARE PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DISTRICT URGENT CARE PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDANT
Authorized Official - Prefix:
Authorized Official - First Name:BLAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELAYNEH
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:202-723-0393
Mailing Address - Street 1:4903-B GEORGIA AV
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011
Mailing Address - Country:US
Mailing Address - Phone:202-723-0393
Mailing Address - Fax:202-723-0397
Practice Address - Street 1:4903-B GEORGIA AV
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011
Practice Address - Country:US
Practice Address - Phone:202-723-0393
Practice Address - Fax:202-723-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care