Provider Demographics
NPI:1336561448
Name:DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH
Other - Org Name:STD/ TB CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY STD/ TB DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HINNANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-698-4035
Mailing Address - Street 1:899 NORTH CAPITAL STREET NE ROOM 4000
Mailing Address - Street 2:DISTRICT OF COLUMBIA DEPART. OF HEALTH, STD/ TB DN
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-671-4843
Mailing Address - Fax:
Practice Address - Street 1:1900 MASSACHUSETTS AVE SE, BLDG 15
Practice Address - Street 2:STD/ TB CLINIC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003
Practice Address - Country:US
Practice Address - Phone:202-698-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty