Organization
PROVIDENCE HOSPITAL
Active
Other names
Providence Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT M FURNISS (SR VP FINANCE/CFO)
(202) 854-7169
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2180
(202) 854-7001
(202) 854-7990
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2180
(202) 854-4069
(202) 854-7825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
01/04/2021
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