Providence Health Services, Inc

LBN: Phs Multispecialty Services
Providence Health Services, Inc is an health care organization with primary practice located at 14300 Gallant Fox Ln Suite 224, Bowie MD 20715-4003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Phs Multispecialty Services can be contacted via phone (301) 262-8291, or through Higginbotham, Beau via phone (410) 368-3162.

Contact Information

Primary practice address
14300 Gallant Fox Ln Suite 224 Bowie MD 20715-4003
Fax: (301) 262-7740
Website:
Authorized official contact:
Name: Higginbotham, Beau

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X HFD01-0212 District of Columbia

Profile Details

NPI number 1134598394
LBN Legal business name Phs Multispecialty Services
DBA Doing business as Providence Health Services, Inc
Authorized official Higginbotham, Beau
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 17th, 2015
Last updated Oct 9th, 2017 - 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.

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