PATRONS HEALTHCARE SERVICES


Address: 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324
Phone: 2023501697

PATRONS HEALTHCARE SERVICES (NPI# 1518427970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518427970
Entity Type Organization
Organization Name PATRONS HEALTHCARE SERVICES
Practice Address 7826 Eastern Ave Nw Ste 412d
Washington
DC 20012-1324
Mailing Address 4603 Logsdon Dr
Annandale
VA 22003-3527
Practice Telephone 2023501697
Enumeration Date 2019-03-21
Last Update Date 2019-03-21
Authorized Official Name SUSAN JIOFACK (CEO)
Authorized Official Telephone 2023501697
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Patrons Healthcare Services LLC 4603 Logsdon Dr, Annandale, Virginia 22003

Office Location

Street Address 7826 EASTERN AVE NW STE 412D
City WASHINGTON
State DC
Zip Code 20012-1324

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20012

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Dataset Information

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.

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