PROVIDENCE HEALTH SERVICES, INC

WASHINGTON, DC
NPI1730690801
Doing Business AsPHS UNITY HEALTHCARE PARKSIDE RADIOLOGY
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAN
Vice President/COO
410-368-3162
Organization Subpart ?Yes
Primary Taxonomy261QR0200X Clinic/Center Radiology
(Licence: DC  HFD01-0212)
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
PROVIDENCE HEALTH SERVICES, INC
765 KENILWORTH TER NE
WASHINGTON, DC 20019-1898
Phone number: 202-299-1796
Mailing Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE ST CATHERINES HALL, ROOM 102
WASHINGTON, DC 20017-2104
Phone number: 202-854-4069