MARY'S CENTER (NPI# 1710356522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710356522 |
Entity Type | Organization |
Organization Name | MARY'S CENTER |
Practice Address |
3110 Mount Vernon Ave Apt. 514 Alexandria VA 22305-2664 |
Mailing Address |
3110 Mount Vernon Ave Apt 514 Alexandria VA 22305-2646 |
Practice Telephone | 2023554352 |
Mailing Telephone | 2023554352 |
Enumeration Date | 2015-09-22 |
Last Update Date | 2015-09-22 |
Authorized Official Name | MS. YOLIMA MONCADA (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 2023554352 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
RN967590 | DC | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MARY'S CENTER | 2333 Ontario Rd Nw, Washington, DC 20009-2627 |
Street Address |
3110 MOUNT VERNON AVE APT. 514 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22305-2664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538544432 | Brian Chang | Pharmacist | 3110 Mount Vernon Ave, Apt 312, Alexandria, VA 22305-2664 | 2015-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992195531 | Ayesha Abbasi | Pharmacy Technician | 1301 Jefferson Davis Highway, Alexandria, VA 22305 | 2015-02-04 |
1164620027 | Neighborhood Health | Clinic/Center | 2 E Glebe, Alexandria, VA 22305 | 2007-07-03 |
1073147518 | Jennifer Marie Downey | Registered Nurse | 802 Manor Rd Apt 302, Alexandria, VA 22305-1126 | 2020-02-24 |
1033461363 | Ellen Ilse Sviland | Dietitian, Registered | 3822 Florence Dr Apt 2, Alexandria, VA 22305-1422 | 2012-10-10 |
1437549375 | Marjorie Franke | Specialist/Technologist | 226 Guthrie Ave, Alexandria, VA 22305-1817 | 2015-01-30 |
1629379672 | Alexandra Cramer Coughlin | Social Worker | 231 Guthrie Ave, Alexandria, VA 22305-1818 | 2010-11-08 |
1497364491 | Adriana Pacheco-figueroa | Student in an Organized Health Care Education/Training Program | 2815 Mosby St, Alexandria, VA 22305-1828 | 2020-07-26 |
1699221390 | Sherrill Mcmillan | Counselor | 3201 Lanover Street, Apt 1706, Alexandria, VA 22305-1938 | 2016-09-01 |
1548521834 | Carrie Field | Social Worker | 3813 Charles Ave, Alexandria, VA 22305-2053 | 2012-06-03 |
1144578105 | Allison C Gunta | Speech-Language Pathologist | 3801 Elbert Ave, Alexandria, VA 22305-2058 | 2012-08-24 |
Find all providers in zip 22305 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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---|---|---|---|---|
1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
1114471117 | Alexandria Industries Family Health & Wellness Clinic | Clinic/Center | 690 Voyager Dr, Suite 8, Alexandria, MN 56308-5295 | 2016-08-08 |
1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
1184052789 | Central La. Family Health and Wellness Center | Clinic/Center | 3516 North Blvd, Suite A, Alexandria, LA 71301-3613 | 2013-10-17 |
1972773430 | Tender Heart Pediatrics | Clinic/Center | 2616 Sherwood Hall Ln Ste 402, Alexandria, VA 22306-3154 | 2008-03-11 |
1386719524 | Hispanic American Pediatric Associates | Clinic/Center | 5130 Duke Street, Suite 7, Alexandria, VA 22304-7207 | 2006-11-22 |
1194198713 | Be Well Medical Group | Clinic/Center | 108 S Columbus St, Suite 201, Alexandria, VA 22314-3064 | 2015-11-04 |
1396130738 | Bismilah Medical LLC | Clinic/Center | 5501 Cherokee Ave, Suite 205, Alexandria, VA 22312-2305 | 2015-04-02 |
1740686377 | Quad/med, LLC | Clinic/Center | 112 S Harrison St, Alexandria, IN 46001-2067 | 2014-11-10 |
1265845796 | Medoncall, LLC | Clinic/Center | 7598 Telegraph Rd, Alexandria, VA 22315-3829 | 2014-06-02 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22305 |
Please comment or provide details below to improve the information on MARY'S CENTER.
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.