Provider Type Icon

PHS CARE CENTER NPI 1083878730


NPI Information

NPI: 1083878730
Provider Name: PHS CARE CENTER

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
1150 VARNUM ST NE
SUITE 201
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-7674
Get Directions

PHS CARE CENTER is a nurse practitioner in Washington, DC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PHS CARE CENTER NPI is 1083878730. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

1150 VARNUM ST NE
SUITE 201
WASHINGTON, DC
ZIP 20017-104
Phone: (202) 854-7674
Fax: (202) 269-7825

The provider's authorized official is Beau Higginbotham .
The authorized official title is Vp and has the following contact phone number (410) 368-3168.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 6/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2363L00000XNurse PractitionerHFD01-0212DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1025501700MEDICAIDMARYLAND
2023435100MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.