NPI | 1750659272 |
---|---|
Other Name | PROVIDENCE HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | CHARLES F HABERKERN VP 202-854-4255 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC HFD01-0212) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC HFD01-0212) |
282N00000X General Acute Care Hospital (Licence: DC HFD01-0212) | |
Enumeration Date | 2011-12-12 |
Last Update Date | 2016-09-06 |