Green Door, Inc.

LBN: Green Door, Inc.
Green Door, Inc. is an health care organization with primary practice located at 1221 Taylor St Nw , Washington DC 20011-5617. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Green Door, Inc. can be contacted via phone (202) 464-9200, or through Clancy, Michael via phone (202) 464-9200.

Contact Information

Primary practice address
1221 Taylor St Nw Washington DC 20011-5617
Fax: (202) 464-5740
Website:
Authorized official contact:
Name: Clancy, Michael

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD33367 District of Columbia

Profile Details

NPI number 1073659140
LBN Legal business name Green Door, Inc.
DBA Doing business as
Authorized official Clancy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073659140 NPPES
District of Columbia Other 23653 CHARTERED HEALTH PLAN
District of Columbia Other 281810 CHARTERED HEALTH PLAN
District of Columbia Other 5181 CHARTERED HEALTH PLAN

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