| NPI | 1194176834 |
|---|---|
| Other Name | LA CLINICA DEL PUEBLO HYATTSVILLE |
| Entity Type | Organization |
| Authorized Contact | MICAELA ACUNA Patient Revenue Manager 240-582-8828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: DC 650001047) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-10-09 |