Providence Hospital
LBN: Providence Health Services Inc
Providence Hospital is an health care organization with primary practice located at 1160 Varnum St Ne , Washington DC 20017-2107. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Agencies / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Health Services Inc can be contacted via phone (202) 854-7000, or through Lomax, Mitchell via phone (667) 234-2926.
Contact Information
Primary practice address
1160 Varnum St Ne
Washington DC 20017-2107
Phone: (202) 854-7000
Fax: (202) 269-7160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ||
| Agencies / Case Management | 251B00000X | HFD01-0212 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1669453809 |
|---|---|
| LBN Legal business name | Providence Health Services Inc |
| DBA Doing business as | Providence Hospital |
| Authorized official | Lomax, Mitchell |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 6th, 2005 |
| Last updated | Nov 1st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669453809 | NPPES |
| District of Columbia | MEDICAID | 023435102 | |
| District of Columbia | MEDICAID | 023435100 | |
| District of Columbia | MEDICAID | 080352200 | |
| District of Columbia | MEDICAID | 5485215 00 | |
| District of Columbia | MEDICAID | 023435101 | |
| District of Columbia | MEDICAID | 5485215 01 |
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