Providence Health Services
LBN: Phs Behavioral Medicine
Providence Health Services is an health care organization with primary practice located at 1053 Buchanan St Ne Suite 055, Washington DC 20017-2712. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Neurology, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Phs Behavioral Medicine can be contacted via phone (202) 269-7626, or through Haberkern, Charles F via phone (202) 854-4255.
Contact Information
Primary practice address
1053 Buchanan St Ne Suite 055
Washington DC 20017-2712
Phone: (202) 269-7626
Fax: (202) 269-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | HFD01-0212 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | HFD01-0212 | District of Columbia |
| Hospitals / General Acute Care Hospital | 282N00000X | HFD01-0112 | District of Columbia |
Profile Details
| NPI number | 1396012837 |
|---|---|
| LBN Legal business name | Phs Behavioral Medicine |
| DBA Doing business as | Providence Health Services |
| Authorized official | Haberkern, Charles F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 29th, 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 | 1396012837 | NPPES |
| Maryland | MEDICAID | 005145400 | |
| Maryland | MEDICAID | 09810714 | |
| Maryland | MEDICAID | 029833400 |
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