| NPI | 1942546858 |
|---|---|
| Doing Business As | PROVIDENCE HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BEAU HIGGINBOTHAM Cive President/COO 410-368-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: DC HFD01-0212) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: DC HFD01-0212) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2017-10-05 |