Organization
PROVIDENCE HOSPITAL
Active
Other names
Providence Hospital Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT M FURNISS (SR. VP FINANCE/CFO)
(202) 854-7147
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-7000
(202) 854-7160
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-7000
(202) 854-7160
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
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
11/02/2005
Last updated
04/03/2019
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