Provider Demographics
NPI:1801949086
Name:FAMILY HEALTH AND BIRTH CENTER
Entity type:Organization
Organization Name:FAMILY HEALTH AND BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-398-5520
Mailing Address - Street 1:801 17TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7200
Mailing Address - Country:US
Mailing Address - Phone:202-398-5520
Mailing Address - Fax:202-396-6953
Practice Address - Street 1:801 17TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7200
Practice Address - Country:US
Practice Address - Phone:202-398-5520
Practice Address - Fax:202-396-6953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD10-0001261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing