Organization
PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SPARKS (SR. VICE PRESIDENT)
(202) 269-7135
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2149
(202) 269-7000
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2149
(202) 269-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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