Providence Health Services
LBN: Phs Medical Specialists Pmb107
Providence Health Services is an health care organization with primary practice located at 1140 Varnum St Ne Pmb107, Washington DC 20017-2151. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty.
Phs Medical Specialists Pmb107 can be contacted via phone (202) 854-4052, or through Haberkern, Charles F via phone (202) 854-4255.
Contact Information
Primary practice address
1140 Varnum St Ne Pmb107
Washington DC 20017-2151
Phone: (202) 854-4052
Fax: (202) 854-4832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | HFD01-0212 | District of Columbia |
| Hospitals / General Acute Care Hospital | 282N00000X | HFD01-0212 | District of Columbia |
Profile Details
| NPI number | 1457693012 |
|---|---|
| LBN Legal business name | Phs Medical Specialists Pmb107 |
| DBA Doing business as | Providence Health Services |
| Authorized official | Haberkern, Charles F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 21st, 2013 |
| 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 | 1457693012 | NPPES |
| District of Columbia | MEDICAID | 029833400 | |
| District of Columbia | MEDICAID | 09810714 | |
| District of Columbia | MEDICAID | 005145400 |
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