Providence Health Services, INC
Orthopaedic Surgery, Sports Medicine in Washington, District of Columbia
1689005720- Practice location
- 1160 Varnum St NE, Depaul 312, Washington, DC 20017-2107
- Phone
- 202-534-4400
- Fax
- 202-435-4412
- Last updated
- October 9, 2017
Providence Health Services, INC is a healthcare organization based in Washington, DC. Providence Health Services, INC practices in Washington, DC. The NPI Number for Providence Health Services, INC is 1689005720 and holds a License No. HFD01-0212 (DC). The current practice location address for Providence Health Services, INC is 1160 Varnum St NE, Depaul 312, Washington, DC 20017-2107 and can be reached out via phone at 202-534-4400 and via fax at 202-435-4412.
Provider Profile Details
- NPI Number
- 1689005720
- Provider Name
- Providence Health Services, INC
- Provider Entity Type
- Organization
- Address
- 1160 Varnum St NE, Depaul 312, Washington, DC 20017-2107
- Phone Number
- 202-534-4400
- Fax Number
- 202-435-4412
- Primary Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- Organization Subpart
- Yes
- Parent Organization
- Providence Hospital
- Authorized Official
- Beau Higginbotham · Vice President/Coo · 410-368-3162
- Provider Enumeration Date
- November 27, 2013
- Last Update Date
- October 9, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1160 Varnum St NE
Depaul 312
Washington, DC 20017-2107 - City
- Washington
- State
- District of Columbia
- Zip
- 20017-2107
- Phone Number
- 202-534-4400
- Fax Number
- 202-435-4412
Provider Business Mailing Address Details
- Address
- Po Box 418893
Boston, MA 02241-8893 - City
- Boston
- State
- MA
- Zip
- 02241-8893
- Phone Number
- 202-448-4069
- Fax Number
- 202-269-7825
License Information
- License Number (1)
- HFD01-0212
- License State (1)
- DC
- Taxonomy (1)
- General Acute Care Hospital · 282N00000X
- License Number (2)
- HFD01-0212
- License State (2)
- DC
- Taxonomy (2)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Providence Health Services, INC?
The NPI number of Providence Health Services, INC is 1689005720. It was assigned on November 27, 2013 and is currently active in the NPPES registry.
What is the specialty of Providence Health Services, INC?
Providence Health Services, INC is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in DC under license number HFD01-0212.
Where does Providence Health Services, INC practice?
The practice location is 1160 Varnum St NE, Depaul 312, Washington, DC 20017-2107. The office can be reached at 202-534-4400 (phone) or 202-435-4412 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689005720 directly on the NPPES registry website.