OrganizationActive
Northside Medical Services Corporation
NPI 1639290398 · Occupational Medicine Clinic/Center · Washington, DC
Provider details
- NPI number
- 1639290398
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ralph Greene, Medical Director(202) 388-6000
- License
- MD25334 (DC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4121 Minnesota Ave Ne
Washington, DC 20019-3572
Phone: (202) 388-6000
Fax: (202) 388-6001
Approximate (ZIP-level) locationGet directions
Mailing address
4121 Minnesota Ave Ne
Washington, DC 20019-3572
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.