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PHS CENTER FOR LIFE SC 2ND FLOOR NPI 1831467356


NPI Information

NPI: 1831467356
Provider Name: PHS CENTER FOR LIFE SC 2ND FLOOR

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1150 VARNUM ST NE
ST. CATHERINE'S HALL, 2ND FLOOR
WASHINGTON, DC
ZIP 20017
Phone: (202) 269-7074
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PHS CENTER FOR LIFE SC 2ND FLOOR is a gynecology obstetrics gynecology in Washington, DC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee PHS CENTER FOR LIFE SC 2ND FLOOR NPI is 1831467356. 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
ST. CATHERINE'S HALL, 2ND FLOOR
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 269-7074
Fax: (202) 372-0026

The provider's authorized official is Beau Higginbotham .
The authorized official title is Vp and has the following contact phone number (410) 368-3162.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 7/21/2022.


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
1207V00000XObstetrics & GynecologyHFD01-0212DISTRICT OF COLUMBIANo
2282N00000XGeneral Acute Care HospitalHFD01-0212DISTRICT OF COLUMBIANo
3207VG0400XObstetrics & GynecologyGynecologyHFD01-0212DISTRICT 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
1005145400MEDICAIDMARYLAND
2029833400MEDICAIDDISTRICT OF COLUMBIA
309810714MEDICAIDVIRGINIA

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

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.