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Contact Information

PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE
WASHINGTON, DC20017-2104
 Phone: 202-854-4041
 Fax: 202-854-4034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH SERVICES, INC

NPI # 1740795293
LBN Legal business name PROVIDENCE HEALTH SERVICES, INC
Authorized official BEAU HIGGINBOTHAN - (VICE PRESIDENT/COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/06/2017
Last updated 12/06/2017 - About 8 years ago
Identifiers
DC License # HFD01-0212
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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