Providence Health Services, Inc in Washington - Addiction Medicine
Providence Health Services, Inc - NPI 1609031632
Providence Health Services, Inc is a Addiction Medicine in Washington, District Of Columbia. Providence Health Services, Inc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Providence Health Services, Inc is 1609031632. The last update date is 2023-10-20.
Providence Health Services, Inc's current location address is 1140 Varnum St Ne Ste 100, Washington, District Of Columbia. You can contact this provider via phone number 2028547623 and fax number 2028547616. The mailing address for Providence Health Services, Inc is 1140 Varnum St Ne Ste 100, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health Services, Inc |
|---|---|
| Address | 1140 Varnum St Ne Ste 100, Washington, District Of Columbia |
| Phone Number | 2028547623 |
| Fax Number | 2028547616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Lomax Mitchell |
| Telephone Number | 6672342926 |
NPI Number Detail
| NPI Number | 1609031632 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2023-10-20 |
Provider Mailing Address Detail
| Address | 1140 Varnum St Ne Ste 100 |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 20017 |
| Phone Number | 2028547623 |
| Fax Number | 2028547616 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | HFD01-0212 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 985415100 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Providence Health Services, Inc by the Centers for Medicare & Medicaid Services?
The Providence Health Services, Inc has been assigned the NPI (National Provider Identifier) 1609031632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Providence Health Services, Inc is physically located?
The Providence Health Services, Inc is situated at the following address: 1140 Varnum St Ne Ste 100, Washington, DC 20017.
What is Providence Health Services, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Providence Health Services, Inc is Addiction Medicine, and the taxonomy code that classifies this field of practice is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609031632 to Providence Health Services, Inc?
The Providence Health Services, Inc received its 1609031632 assignment from the Centers for Medicare & Medicaid Services on 2008-07-18.
As of what date was the information pertaining to Providence Health Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Providence Health Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-20.