Provider Demographics
NPI:1063961795
Name:HOWARD UNIVERSITY
Entity type:Organization
Organization Name:HOWARD UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PUBLIC HEALTH PROGRAMS
Authorized Official - Prefix:MS
Authorized Official - First Name:DAVENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RN, NNP
Authorized Official - Phone:202-865-7012
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 3400
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4132
Mailing Address - Fax:202-865-5018
Practice Address - Street 1:4300 C ST SE
Practice Address - Street 2:SEED SCHOOL BASED HEALTH CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4100
Practice Address - Country:US
Practice Address - Phone:202-248-3015
Practice Address - Fax:202-280-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health