1669453809 PROVIDENCE HEALTH SERVICES INC
Family Medicine Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH SERVICES INC
- Enumeration Date
- November 6, 2005
- Last Update
- November 1, 2023
- Authorized Official
- MR. MITCHELL LOMAX
VICE PRESIDENT/CFO
Phone: (667) 234-2926
Practice Location
- Address
- 1160 VARNUM ST NE
WASHINGTON, DC 200172107 - Phone
- (202) 854-7000
- Fax
- (202) 269-7160
Mailing Address
- Address
- 1150 VARNUM ST NE
ADMINISTRATION 4TH FLOOR
WASHINGTON, DC 200172149 - Phone
- (202) 854-4255
- Fax
- (202) 854-7160
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Surgery Physician | 208600000X | Surgery | N/A | N/A | No |
| Hospitalist Physician | 208M00000X | Hospitalist | N/A | N/A | No |
| Health Service Psychologist Health Service | 103TH0100X | Psychologist | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | HFD01-0212 | DC | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023435102 | 05 | DC | N/A |
| 023435100 | 05 | DC | N/A |
| 080352200 | 05 | DC | N/A |
| 5485215 00 | 05 | DC | N/A |
| 023435101 | 05 | MD | N/A |
| 5485215 01 | 05 | MD | N/A |
Additional Practice Locations
1150 Varnum St NE
Washington, DC 200172104
Washington, DC 200172104
Phone: (202) 854-4069
Fax: (202) 854-7825
Frequently Asked Questions
What is PROVIDENCE HEALTH SERVICES INC's NPI number?
PROVIDENCE HEALTH SERVICES INC's NPI number is 1669453809.
Which doctor has NPI number 1669453809?
The doctor with NPI number 1669453809 is PROVIDENCE HEALTH SERVICES INC.
What is PROVIDENCE HEALTH SERVICES INC's practice address?
PROVIDENCE HEALTH SERVICES INC's practice address is 1160 VARNUM ST NE, WASHINGTON, DC, 200172107.
Which doctor practices at 1160 VARNUM ST NE, WASHINGTON, DC, 200172107?
PROVIDENCE HEALTH SERVICES INC practices at 1160 VARNUM ST NE, WASHINGTON, DC, 200172107.
What is PROVIDENCE HEALTH SERVICES INC's mailing address?
PROVIDENCE HEALTH SERVICES INC's mailing address is 1150 VARNUM ST NE, ADMINISTRATION 4TH FLOOR, WASHINGTON, DC, 200172149.
What is PROVIDENCE HEALTH SERVICES INC's phone number?
PROVIDENCE HEALTH SERVICES INC's phone number is (202) 854-7000.
Who is (202) 854-7000?
(202) 854-7000 is the phone number for PROVIDENCE HEALTH SERVICES INC.
What is PROVIDENCE HEALTH SERVICES INC's specialty?
PROVIDENCE HEALTH SERVICES INC's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE HEALTH SERVICES INC?
PROVIDENCE HEALTH SERVICES INC is a Family Medicine Physician.
Is PROVIDENCE HEALTH SERVICES INC a Family Medicine?
Yes, PROVIDENCE HEALTH SERVICES INC is a Family Medicine.
Is PROVIDENCE HEALTH SERVICES INC still practicing?
Yes, PROVIDENCE HEALTH SERVICES INC is currently practicing.
Is PROVIDENCE HEALTH SERVICES INC accepting new patients?
PROVIDENCE HEALTH SERVICES INC may be accepting new patients. Please call their office at (202) 854-7000 to inquire about availability.
Is NPI 1669453809 still active?
Yes, NPI 1669453809 is currently active.
Where does PROVIDENCE HEALTH SERVICES INC practice?
PROVIDENCE HEALTH SERVICES INC practices in WASHINGTON, DC.