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Organization
PROVIDENCE HEALTH SERVICES
Active
Organization
PROVIDENCE HEALTH SERVICES
Active
Parent organization
PROVIDENCE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
BEAU HIGGINBOTHAM (VICE PRESIDENT/COO)
(410) 368-3162
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2149
(202) 269-7000
(202) 269-7825
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2149
(202) 269-7000
(202) 269-7825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
HFD01-0212
DC
Other
Enumeration date
07/11/2008
Last updated
10/10/2017
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