Provider Demographics
NPI:1013704113
Name:DC HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:DC HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STD & TB CONTROL DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, FNP-BC
Authorized Official - Phone:202-841-0871
Mailing Address - Street 1:77 P STREET NE
Mailing Address - Street 2:DC HEALTH AND WELLNESS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-557-0577
Mailing Address - Fax:
Practice Address - Street 1:77 P STREET NE
Practice Address - Street 2:DC HEALTH AND WELLNESS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-557-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DC DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty