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Organization
PHS SLEEP DISORDERS INSTITUTE
Active
Organization
PHS SLEEP DISORDERS INSTITUTE
Active
Parent organization
PROVIDENCE HOSPITAL
Other names
Providence Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
MR. CHARLES F HABERKERN (VP)
(202) 854-4255
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, ST CATHERINE'S HALL, 1ST FLOOR, WASHINGTON, DC 20017-2107
(202) 854-3232
(202) 854-3234
Mailing address
1160 VARNUM ST NE, ST CATHERINE'S HALL, ROOM 102, WASHINGTON, DC 20017-2107
(202) 854-4069
(202) 854-7825
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HFD01-0212
DC
Other
Enumeration date
12/09/2011
Last updated
08/04/2016
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