Basic Information
| Provider Information | |||||||||
| NPI: | 1710041603 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WALTER REED ARMY MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | WRAMC, BLDG 2, ROOM 2J38 | ||||||||
| Address2: | 6900 GEORGIA AVE. NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027827250 | ||||||||
| FaxNumber: | 2027823800 | ||||||||
| Practice Location | |||||||||
| Address1: | WRAMC, BLDG 6, DEPARTMENT OF SOCIAL WORK | ||||||||
| Address2: | 6900 GEORGIA AVE. NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027826378 | ||||||||
| FaxNumber: | 2027825392 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | TRUELOVE | ||||||||
| AuthorizedOfficialFirstName: | JOE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | DEPUTY CHIEF OF DEPT OF SOCIAL WORK | ||||||||
| AuthorizedOfficialTelephone: | 2027826378 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2865M2000X | SW 7886 | FL | Y | Hospitals | Military Hospital | Military General Acute Care Hospital |
No ID Information.