PROVIDENCE HEALTH SERVICES, INC

WASHINGTON, DC
NPI1740795293
Doing Business AsPHS ANESTHESIA
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAN
Vice President/COO
410-368-3182
Organization Subpart ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: DC  HFD01-0212)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: DC  HFD01-0212)
367H00000X Anesthesiologist Assistant
(Licence: DC  HFD01-0212)
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE
WASHINGTON, DC 20017-2104
Phone number: 202-854-4041
Mailing Address
PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE ST CATHERINES HALL, ROOM 102
20017, DC 20017-2104
Phone number: 202-854-4069