NPIMap

Organization Active NPI

Marys Center for Maternal and Child Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1821341249
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Doing business as
Mary's Center for Maternal and Child Care, Inc.
Practice address
3912 Georgia Ave. NW
Washington, DC 20011-5861
Phone
(202) 483-8196
Fax
(202) 545-2070
NPI assigned
Oct 23, 2012
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Ban
Title
Chief Executive Officer
Phone
(202) 424-2655

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Dental Clinic/Center 261QD0000X 64001664 DC
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 64001664 DC

Addresses

Primary practice location

3912 Georgia Ave. NW
Washington, DC 20011-5861

Mailing address

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 483-8196

Other identifiers 4

IdentifierTypeStateIssuer
037536500MedicaidDC
037564900MedicaidDC
039315100MedicaidMD
411949500MedicaidMD

Other names 1

  • Mary's Center for Maternal and Child Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040609000873 DC Part B Supplier - Clinic/Group Practice 5092798298 Receives reassigned benefits from 179 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC; Silver Spring, MD; Adelphi, MD
O20120127000366 DC Part A Provider - Federally Qualified Health Center (FQHC) 5092798298 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821341249. Details of each certification follow.

Federally qualified health center certification: CCN 091838

Legal name
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 27, 2012
Last certification
Jan 27, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1988 in DC
Enrollment address
3912 Georgia Ave NW
Washington, DC 20011-5861

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mary's Center for Maternal Child Care Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy Ban Individual Corporate OfficerChief Executive Officer Jun 2, 2025
W-2 Managing EmployeeAd; Jun 2, 2025

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1821341249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092627",
            "telephone_number": "202-483-8196",
            "fax_number": "202-545-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 GEORGIA AVE. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115861",
            "telephone_number": "202-483-8196",
            "fax_number": "202-545-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS CENTER FOR MATERNAL AND CHILD CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-424-2655"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "64001664",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "64001664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037536500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037564900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039315100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411949500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary's Center for Maternal and Child Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.