# PROVIDENCE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649616384
- **Authorized official:** DAPHNE TOLENTINO AA-C (ANESTHESIOLOGIST ASSISTAMT)
- **Authorized official phone:** (678) 595-5626

## Contact information

- **Practice address:** 1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
- **Practice address phone:** (202) 423-8976
- **Mailing address:** 1600 S EADS ST, APT 731S, ARLINGTON, VA 22202-2926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | AA000012 | DC | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 05/21/2013