Providence Health Services

LBN: Phs Care Center
Providence Health Services is an health care organization with primary practice located at 1150 Varnum St Ne Suite 201, Washington DC 20017-2104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Phs Care Center can be contacted via phone (202) 854-7674, or through Higginbotham, Beau via phone (410) 368-3168.

Contact Information

Primary practice address
1150 Varnum St Ne Suite 201 Washington DC 20017-2104
Phone: (202) 854-7674
Fax: (202) 269-7825
Website:
Map and Directions
Authorized official contact:
Name: Higginbotham, Beau
Phone: (410) 368-3168

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X HFD01-0212 District of Columbia

Profile Details

NPI number 1083878730
LBN Legal business name Phs Care Center
DBA Doing business as Providence Health Services
Authorized official Higginbotham, Beau
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2008
Last updated Jun 7th, 2017 - about 9 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 1083878730 NPPES
District of Columbia MEDICAID 023435100
District of Columbia MEDICAID 025501700

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