| NPI | 1669453809 |
|---|---|
| Other Name | PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MITCHELL LOMAX Vice President/CFO 667-234-2926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 103TH0100X Psychologist, Health Service | |
| 251B00000X Case Management (Licence: DC HFD01-0212) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-11-06 |
| Last Update Date | 2023-11-01 |