| NPI | 1962842401 |
|---|---|
| Other Name | PROVIDENCE HEALTH SERVICES, INC |
| 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 | 282N00000X General Acute Care Hospital (Licence: DC HFD01-0212) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-09-06 |