NPIMap

Organization Active NPI

CNMC Clinic at Ballou HS

  • Student Health Clinic/Center
  • Washington, DC
National Provider Identifier
1861938177
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CNMC CLINIC AT BALLOU HS
Practice address
3401 4TH St SE
Washington, DC 20032-5406
Phone
(202) 476-4447
NPI assigned
Jan 10, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Ms. Susan M. Pfennig
Title
Senior Manager
Phone
(202) 476-4447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

3401 4TH St SE
Washington, DC 20032-5406

Mailing address

PO Box 37215
Baltimore, MD 21297-3215

National Provider Directory

National Provider Directory
Tax ID family
CNMC Clinic at Coolidge HS42 organizations share this tax ID, including this one
Part of
CNMC Clinic at Coolidge HS

Other organizations with this tax ID 41

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

View all 41

Locations

3401 4th St SE
Washington, DC 20032
Phone (202) 645-3400

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1861938177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37215",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 4TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325406",
            "telephone_number": "202-476-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNMC CLINIC AT BALLOU HS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "PFENNIG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "202-476-4447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.