| Organization Name: | CAPITOL MEDICAL CENTER LLC |
| NPI Number: | 1871756817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MONTOIS (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1310 Southern Ave Se Washington |
| State: | DC US |
| Postal Code: | 200324623 |
| Phone Number: | 2025746837 |
| Fax Number: | 2025747188 |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HFDO10198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |