PHS GENERAL SURGRY DP318

WASHINGTON, DC
NPI1194080689
Doing Business AsPROVIDENCE HEALTH SERVICES, INC
Entity TypeOrganization
Authorized ContactGREGORY ZIEGLER
A VP Finance
202-854-7284
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
(Licence: DC  HFD01-0212)
Additional Taxonomies282N00000X General Acute Care Hospital
(Licence: DC  HFD01-0212)
Enumeration Date2012-07-10
Last Update Date2016-09-06
Business Address
PHS GENERAL SURGRY DP318
1160 VARNUM ST NE DEPAUL 318
WASHINGTON, DC 20017-2107
Phone number: 202-854-4014
Mailing Address
PHS GENERAL SURGRY DP318
1150 VARNUM ST NE ST CATHERINE'S HALL, ROOM 102
WASHINGTON, DC 20017-2104
Phone number: 202-854-4014