<Unavail>
LBN: Phs Gen Surg Dp307
<Unavail> is an health care organization with primary practice located at 1160 Varnum St Ne Depaul 307, Washington DC 20017-2107. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Phs Gen Surg Dp307 can be contacted via phone (202) 854-4014, or through Higginbotham, Beau via phone (410) 368-3162.
Contact Information
Primary practice address
1160 Varnum St Ne Depaul 307
Washington DC 20017-2107
Phone: (202) 854-4014
Fax: (202) 854-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | HFD01-0212 | District of Columbia |
| Hospitals / General Acute Care Hospital | 282N00000X | HFD01-0212 | District of Columbia |
Profile Details
| NPI number | 1942546858 |
|---|---|
| LBN Legal business name | Phs Gen Surg Dp307 |
| DBA Doing business as | <Unavail> |
| Authorized official | Higginbotham, Beau |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 20th, 2012 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942546858 | NPPES |
| Virginia | MEDICAID | 09810714 | |
| Virginia | MEDICAID | 005145400 | |
| Virginia | MEDICAID | 029833400 |
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