# PROVIDENCE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Hospital Urgent Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932190626
- **Authorized official:** MR. SCOTT M FURNISS (SR. VP FINANCE/CFO)
- **Authorized official phone:** (202) 854-7147

## Contact information

- **Practice address:** 1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
- **Practice address phone:** (202) 854-7000
- **Practice address fax:** (202) 854-7160
- **Mailing address:** 1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
- **Mailing address phone:** (202) 854-7000
- **Mailing address fax:** (202) 854-7160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | HFD01-0212 | DC | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 04/03/2019