Provider Demographics
NPI:1922478064
Name:CAPITOL HILL COMMUNITY HEALTH CENTER
Entity Type:Organization
Organization Name:CAPITOL HILL COMMUNITY HEALTH CENTER
Other - Org Name:CHCHC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAN-COOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:202-546-7696
Mailing Address - Street 1:201 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6153
Mailing Address - Country:US
Mailing Address - Phone:202-546-7696
Mailing Address - Fax:202-546-8050
Practice Address - Street 1:201 8TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6153
Practice Address - Country:US
Practice Address - Phone:202-546-7696
Practice Address - Fax:202-546-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care