1992805022 NPI number — GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE

Table of content: (NPI 1992805022)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992805022 NPI number — GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992805022
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 717767
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19171-7767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
833-532-2198
Provider Business Mailing Address Fax Number:
614-987-2004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 14TH ST NW
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20009-4473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-673-3320
Provider Business Practice Location Address Fax Number:
202-462-0807
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEATON
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
RONALD
Authorized Official Title or Position:
EMS ADMINISTRATOR
Authorized Official Telephone Number:
202-727-5225

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: D09728 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 402722100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0061387 . This is a "AETNA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 080046100 . This is a "FREDERAL BLACK LUNG PROGR" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 117947 . This is a "KAISER PERMANENTE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 14225 . This is a "SENIOR PARTNERS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 92423 . This is a "AMERIGROUP" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 140861FY . This is a "PREFERRED CARE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: DC0089 . This is a "QUALMED" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: WORKERS COMPENSATION . This is a "DEPT OF LABOR" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 801187 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 030329900 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590009227 . This is a "RAIL ROAD MCARE UNITED HC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 100690 . This is a "CHARTERED HEALTH PLAN" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: B920-0001 . This is a "FEDERAL BC CARE FIRST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: DC0089 . This is a "PHS HEALTH PLAN" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 145098 . This is a "UNISON DPA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: DC0089 . This is a "HEALTH NET" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com