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Organization
PHS ORHTHOPAEDICS OLNEY
Active
Organization
PHS ORHTHOPAEDICS OLNEY
Active
Parent organization
PROVIDENCE HOSPITAL
Other names
Providence Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
MRS. VIRGINIA MARTIN (SR. VICE PRESIDENT)
(202) 534-4255
Entity
Organization
Contact information
Practice address
18111 PRINCE PHILIP DR, SUITE 208, OLNEY, MD 20832-1513
(202) 448-4014
(202) 372-0029
Mailing address
18111 PRINCE PHILIP DR, SUITE 208, OLNEY, MD 20832-1513
(202) 448-4014
(202) 372-0029
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HFD01-0212
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005145400
—
MD
05
—
029833400
—
DC
05
—
09810714
—
VA
Enumeration date
12/23/2011
Last updated
03/03/2014
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