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Contact Information

DISTRICT AMPUTEE CARE CENTER, LLC
730 24TH ST NW STE 11
WASHINGTON, DC20037-2591
 Phone: 202-338-0770
 Fax: 202-315-3176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for DISTRICT AMPUTEE CARE CENTER, LLC

NPI # 1598181703
LBN Legal business name DISTRICT AMPUTEE CARE CENTER, LLC
Authorized official DAVID FENTON - (OWNER OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2014
Last updated 12/21/2022 - About 3 years ago
Identifiers
DC Medicaid 042760100
Other 1030109 ACM
Other 4417 CAREFIRST
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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