Provider Demographics
NPI:1932408895
Name:DISTRICT DEPARTMENT OF THE ENVIRONMENT
Entity Type:Organization
Organization Name:DISTRICT DEPARTMENT OF THE ENVIRONMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-535-2624
Mailing Address - Street 1:1200 1ST STREET, NE 5TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-535-2624
Mailing Address - Fax:
Practice Address - Street 1:1200 1ST ST NE FL 5
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3361
Practice Address - Country:US
Practice Address - Phone:202-535-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC=========Medicaid