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Contact Information

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC
3800 RESERVOIR RD NW
WASHINGTON, DC20007-2113
 Phone: 202-444-0075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC

NPI # 1205844032
LBN Legal business name GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC
Authorized official STEPHANIE SCHNEIDER - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2006
Last updated 03/28/2024 - About 2 years ago
Identifiers
DC Other G0065 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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