GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC (NPI# 1194374710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374710 |
| Entity Type | Organization |
| Organization Name | GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC |
| Practice Address |
4225 6th St Se Washington DC 20032-3613 |
| Mailing Address |
Po Box 418283 Boston MA 02241-8283 |
| Practice Telephone | 2024684816 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7025581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hoya Clinic at Triumph | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906455 | Guh Kids Mobile Medical Clinic Program, LLC | Pediatrics | 4301 13th St Nw, Washington, DC 20011-5629 | 2019-01-23 |
| 1326502410 | Guh Kids Mobile Medical Clinic Program, LLC | Pediatrics | 1601 16th St Se, Washington, DC 20020-5503 | 2019-01-23 |
| 1205844032 | Guh Kids Mobile Medical Clinic Program, LLC | Pediatrics | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-08-04 |
| Street Address |
4225 6TH ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123758 | Community of Hope Inc. | Clinic/Center | 4225 6th St Se, Washington, DC 20032-3613 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1306348073 | Mgmc, LLC | General Practice | 1120 20th St Nw Frnt 1, Washington, DC 20036-3411 | 2018-03-08 |
| 1750883427 | Mgmc, LLC | General Practice | 106 Irving St Nw Ste 5000, Washington, DC 20010-2981 | 2018-03-08 |
| 1447787924 | Elizabeth Courtney Elkins | General Practice | 4832 Macarthur Blvd Nw, Washington, DC 20007-1557 | 2017-05-16 |
| 1730576588 | Onyebuchi Ugochukwu Ogbuagu | General Practice | 4849 Connecticut Ave Nw Apt 409, Washington, DC 20008-5805 | 2015-04-20 |
| 1366784860 | Andrew Charles Garling | General Practice | 565 Pennsylvania Ave Nw, Washington, DC 20001-4929 | 2013-03-22 |
| 1740542281 | Ridgely Cursoe Bennett Jr. | General Practice | 1770 Sycamore Street, N.w., Washington, DC 20012-1031 | 2012-06-11 |
| 1275843385 | Daniel John Carucci | General Practice | 3827 Massachusetts Ave Nw, Washington, DC 20016-5102 | 2010-10-08 |
| 1013225234 | H L Yoon, Mdpc | General Practice | 2345 Martin Luther King Jr., Ave, S.e., Washington, DC 20020 | 2010-09-22 |
| 1689902751 | Nhu Tuyet Thi Nguyen | General Practice | 4007 Connecticut Ave Nw, Suite 308, Washington, DC 20008-1103 | 2009-11-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.