PROVIDENCE HEALTH SERVICES, INC

WASHINGTON, DC
NPI1356859334
Doing Business AsPHS CARDIOLOGY
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAN
Vice President/COO
410-368-3182
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: DC  HFD01-0212)
Additional Taxonomies174400000X Specialist
(Licence: DC  HFD01-0212)
Enumeration Date2018-01-12
Last Update Date2018-01-12
Business Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE STE 300
WASHINGTON, DC 20017-2180
Phone number: 202-854-4830
Mailing Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE ST CATHERINES HALL, ROOM 102
WASHINGTON, DC 20017-2104
Phone number: 202-854-4069