<Unavail>
LBN: Phs Ctr For Geriatric Medicine Dp021
<Unavail> is an health care organization with primary practice located at 1160 Varnum St Ne Depaul 021, Washington DC 20017-2107. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Phs Ctr For Geriatric Medicine Dp021 can be contacted via phone (202) 854-7785, or through Haberkern, Charles F via phone (202) 854-4255.
Contact Information
Primary practice address
1160 Varnum St Ne Depaul 021
Washington DC 20017-2107
Phone: (202) 854-7785
Fax: (202) 854-7734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | HFD01-0212 | District of Columbia |
| Hospitals / General Acute Care Hospital | 282N00000X | HFD01-0212 | District of Columbia |
Profile Details
| NPI number | 1538437926 |
|---|---|
| LBN Legal business name | Phs Ctr For Geriatric Medicine Dp021 |
| DBA Doing business as | <Unavail> |
| Authorized official | Haberkern, Charles F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Sep 6th, 2016 - about 10 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 | 1538437926 | NPPES |
| District of Columbia | MEDICAID | 029833400 | |
| District of Columbia | MEDICAID | 09810714 | |
| District of Columbia | MEDICAID | 005145400 |
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