https://npiregistry.cms.hhs.gov/provider-view/1588621833

WASHINGTON HOSPITAL CENTER CORPORATION

Other Names:
Doing Business As:
MID ATLANTIC AIR TRANSPORT SERVICE

Organization Subpart: NO

NPI: 1588621833
Last Updated: 2022-01-12
Certification Date: 2022-01-12

Details

NameValue
NPI1588621833
Enumeration Date2006-04-28
NPI TypeNPI-2 Organization
StatusActive
Authorized Official InformationName: JEFFREY A MATTON
Title: SVP INTEGRATED OPERATIONS
Phone: 4107726818
Mailing AddressPO BOX 418304
BOSTON, MA 02241-8304
United States

Phone: 301-552-5730 | Fax:301-306-8587

Primary Practice Address4390 PARLIAMENT PL STE R
LANHAM, MD 20706-1865
United States

Phone: 301-552-5730 | Fax:301-306-8587

Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent
TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDDC011098759
MEDICAIDDC023410800
MEDICAIDMD529602100
Other (non-Medicare)DCW750BCBS-Urban
Other (non-Medicare)DCW810BCBS- Rural
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No3416L0300X - Ambulance - Land Transport
Yes3416A0800X - Ambulance - Air TransportDCHFD01-0210
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