Providence Health Services

LBN: Phs Center For Life Sc 2Nd Floor
Providence Health Services is an health care organization with primary practice located at 1150 Varnum St Ne St. Catherine'S Hall, 2Nd Floor, Washington DC 20017-2107. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. Phs Center For Life Sc 2Nd Floor can be contacted via phone (202) 269-7074, or through Higginbotham, Beau via phone (410) 368-3162.

Contact Information

Primary practice address
1150 Varnum St Ne St. Catherine'S Hall, 2Nd Floor Washington DC 20017-2107
Phone: (202) 269-7074
Fax: (202) 372-0026
Website:
Map and Directions
Authorized official contact:
Name: Higginbotham, Beau
Phone: (410) 368-3162

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X HFD01-0212 District of Columbia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X HFD01-0212 District of Columbia
Hospitals / General Acute Care Hospital 282N00000X HFD01-0212 District of Columbia

Profile Details

NPI number 1831467356
LBN Legal business name Phs Center For Life Sc 2Nd Floor
DBA Doing business as Providence Health Services
Authorized official Higginbotham, Beau
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2011
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831467356 NPPES
District of Columbia MEDICAID 029833400
District of Columbia MEDICAID 09810714
District of Columbia MEDICAID 005145400

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