Providence Health Services
LBN: Phs Bariatric Care Center Dp110
Providence Health Services is an health care organization with primary practice located at 1160 Varnum St Ne Depaul Building Suite 110, Washington DC 20017-2107. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Surgery, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Phs Bariatric Care Center Dp110 can be contacted via phone (202) 854-4080, or through Haberkern, Charles F via phone (202) 854-4255.
Contact Information
Primary practice address
1160 Varnum St Ne Depaul Building Suite 110
Washington DC 20017-2107
Phone: (202) 854-4080
Fax: (202) 854-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | HFD01-0212 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | HFD01-0212 | District of Columbia |
| Hospitals / General Acute Care Hospital | 282N00000X | HFD01-0212 | District of Columbia |
Profile Details
| NPI number | 1659649176 |
|---|---|
| LBN Legal business name | Phs Bariatric Care Center Dp110 |
| DBA Doing business as | Providence Health Services |
| Authorized official | Haberkern, Charles F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 12th, 2011 |
| Last updated | Sep 6th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659649176 | NPPES |
| District of Columbia | MEDICAID | 029833400 | |
| District of Columbia | MEDICAID | 09810714 | |
| District of Columbia | MEDICAID | 005145400 |
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