Organization
PROVIDENCE HEALTH SERVICES, INC
Active
Parent organization
PROVIDENCE HOSPITAL
Other names
PHS Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
BEAU HIGGINBOTHAN (VICE PRESIDENT/COO)
(410) 368-3182
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE STE 300, WASHINGTON, DC 20017-2180
(202) 854-4830
(202) 854-4836
Mailing address
1150 VARNUM ST NE, ST CATHERINES HALL, ROOM 102, WASHINGTON, DC 20017-2104
(202) 854-4069
(202) 854-7825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
HFD01-0212
DC
207RC0000X
Cardiovascular Disease Physician
Primary
HFD01-0212
DC
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us