Green Door, Inc is a Clinical in Washington, District Of Columbia. Green Door, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Green Door, Inc is 1982740056. The last update date is 2020-08-22.
Green Door, Inc's current location address is 1221 Taylor St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2024649200. The mailing address for Green Door, Inc is 1221 Taylor St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Door, Inc |
|---|---|
| Address | 1221 Taylor St Nw, Washington, District Of Columbia |
| Phone Number | 2024649200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPUTY DIR |
|---|---|
| Authorized Official Name | Clancy Michael |
| Telephone Number | 2024649200 |
NPI Number Detail
| NPI Number | 1982740056 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1221 Taylor St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200115617 |
| Phone Number | 2024649200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC302086 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23345 | DC | CHARTERED HEALTH PLAN MCO | |
| 52113 | DC | AMERIGROUP (MEDICAID MCO) | |
| 5234 | DC | HEALTHRIGHT (MEDICAID MCO |
Post Comment/ Review Below
What is the unique identifier code issued to Green Door, Inc by the Centers for Medicare & Medicaid Services?
The Green Door, Inc has been assigned the NPI (National Provider Identifier) 1982740056. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Green Door, Inc is geographically located?
The Green Door, Inc is physically situated at the following location: 1221 Taylor St Nw, Washington, DC, 200115617.
What is Green Door, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Green Door, Inc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Green Door, Inc receive the assignment of its 1982740056 from the Centers for Medicare & Medicaid Services?
The Green Door, Inc was issued its 1982740056 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Green Door, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Green Door, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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