NPIMap

Organization Active NPI

Mary's Center for Maternal and Child Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1992164966
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC
Practice address
100 Gallatin St NE
Washington, DC 20011-7517
Phone
(202) 483-8196
Fax
(202) 420-7164
NPI assigned
Feb 18, 2016
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARY'S CENTER FOR MATERNAL AND CHILD CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 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) 483-8196

Specialties & licenses 3

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

Addresses

Primary practice location

100 Gallatin St NE
Washington, DC 20011-7517

Mailing address

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 420-7175

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
O20170208001425 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 1992164966. Details of each certification follow.

Federally qualified health center certification: CCN 091858

Legal name
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 7, 2017
Last certification
Feb 7, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 21, 1988 in DC
Enrollment address
100 Gallatin St NE
Washington, DC 20011-7517

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
Part of
Mary's Center for Maternal Child Care Inc

Other organizations with this tax ID 20

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

View all 20

Locations

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

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 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1992164966",
    "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": "202-420-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLATIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117517",
            "telephone_number": "202-483-8196",
            "fax_number": "202-420-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC",
        "enumeration_date": "2016-02-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-483-8196"
    },
    "taxonomies": [
        {
            "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": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.