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CHC26632-01 Whitman-Walker Clinic, Inc. (Active)
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Main Details
Name
Whitman-Walker Clinic, Inc.
Subdivision Name
Max Robinson Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036898
340B ID
CHC26632-01
Grant Number
H80CS26632
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Whitman-Walker Health
Naseema Shafi, Chief Executive Officer
(202) 797-3572
Primary Contact
Whitman-Walker Health
Amie Elizabeth Krautwurst, Director of Grants & Programs
(202) 745-6193
Addresses
Street Address
1201 Sycamore Dr SE
Washington, DC 20032-5956
Billing Address
Whitman-Walker Clinic, Inc.
1377 R Street, NW
Suite 200
Washington, DC 20009
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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