Providence Health Services is a
Surgery based in Washington, District Of Columbia. Providence Health Services is licensed to practice in District Of Columbia (license number HFD01-0212) and their current practice location is
1160 Varnum St Ne, Depaul Building Suite 110, Washington, District Of Columbia. It can be reached at their office (for appointments etc.) via phone at
(202) 854-4080.
NPI number for Providence Health Services is 1659649176 and their current mailing address is 1160 Varnum St Ne, St Catherine's Hall, Room 102, Washington, District Of Columbia. Providence Health Services
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659649176.
Healthcare Provider's Profile
| Full Name | Providence Health Services |
|---|
| Type | Facility |
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| Speciality | Surgery |
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| Location | 1160 Varnum St Ne, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659649176
- Provider Enumeration Date: 12/12/2011
- Last Update Date: 09/06/2016
Medical Identifiers
Medical identifiers for Providence Health Services such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659649176 | NPI | - | NPPES |
| 029833400 | Medicaid | DC | |
| 09810714 | Medicaid | VA | |
| 005145400 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | HFD01-0212 (District Of Columbia) | Secondary |
| 208600000X | Surgery | HFD01-0212 (District Of Columbia) | Primary |
| 282N00000X | General Acute Care Hospital | HFD01-0212 (District Of Columbia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Health Services is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Providence Health Services
1160 Varnum St Ne, St Catherine's Hall, Room 102,
Washington, DC 20017-2107
Ph: (202) 854-4069 | Providence Health Services
1160 Varnum St Ne, Depaul Building Suite 110,
Washington, DC 20017-2107
Ph: (202) 854-4080 |
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