Department Of State
Clinic/Center, Health Services in Washington, DC. Organization (NPI-2).
Details
- NPI
- 1295810117
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of State
- Organization subpart
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 6695 | TN | Yes |
Practice location
Department Of State2401 E Street Nw, M/Med/Qi, Sa-1
Washington, DC 20522-0102
Phone 202-663-2453 · Fax 202-663-3247
Mailing address
2160 Freetown PlDulles, VA 20189-2160
Phone 901-388-6651
Authorized official
Clara D Pieh
Health Practitioner/Fnp
2026632453
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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