PHS CTR FOR GERIATRIC MEDICINE DP021 NPI 1538437926

NPI Information

NPI: 1538437926
Provider Name: PHS CTR FOR GERIATRIC MEDICINE DP021

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1160 VARNUM ST NE
DEPAUL 021
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-7785
Get Directions

PHS CTR FOR GERIATRIC MEDICINE DP021 is a geriatric medicine internal medicine in Washington, DC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PHS CTR FOR GERIATRIC MEDICINE DP021 NPI is 1538437926. The provider is registered as an organization entity type.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

1160 VARNUM ST NE
DEPAUL 021
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-7785
Fax: (202) 854-7734

The provider's authorized official is Charles F Haberkern .
The authorized official title is Vp and has the following contact phone number (202) 854-4255.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 9/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		HFD01-0212	DISTRICT OF COLUMBIA	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	HFD01-0212	DISTRICT OF COLUMBIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	029833400	MEDICAID	DISTRICT OF COLUMBIA
2	005145400	MEDICAID	MARYLAND
3	09810714	MEDICAID	VIRGINIA
4	090006	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »