| NPI | 1831467356 |
|---|---|
| Other Name | PROVIDENCE HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BEAU HIGGINBOTHAM VP 410-368-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC HFD01-0212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC HFD01-0212) |
| 282N00000X General Acute Care Hospital (Licence: DC HFD01-0212) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2022-07-21 |