PROVIDENCE HEALTH SERVICES, INC

WASHINGTON, DC
NPI1679087365
Doing Business AsPHS OCCUPATIONAL HEALTH/WELLNESS
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAN
Vice President/COO
410-368-3162
Organization Subpart ?Yes
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
(Licence: DC  HFD01-0212)
Enumeration Date2017-11-17
Last Update Date2017-11-17
Business Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE
WASHINGTON, DC 20017-2104
Phone number: 202-854-4478
Mailing Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE ST CATHERINES HALL, ROOM 102
WASHINGTON, DC 20017-2104
Phone number: 202-854-4069