Providence Health Services - Primary Care in Washington, DC

Providence Health Services is a primary clinic (Nurse Practitioner) in Washington, District Of Columbia. The current practice location for Providence Health Services is 1150 Varnum St Ne, Suite 201, Washington, District Of Columbia. For appointments, you can reach them via phone at (202) 854-7674. The mailing address for Providence Health Services is 1160 Varnum St Ne, St Catherine's Hall, Room 102, Washington, District Of Columbia and phone number is (202) 854-4069.

Providence Health Services is licensed to practice in District Of Columbia (license number HFD01-0212) and its NPI number is 1083878730. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (202) 854-7674.

Contact Information

Providence Health Services
1150 Varnum St Ne
Suite 201
Washington
DC 20017-2104
(202) 854-7674
(202) 269-7825

Primary Care Clinic Profile

Full NameProvidence Health Services
SpecialityNurse Practitioner
Location1150 Varnum St Ne, Washington, District Of Columbia
Authorized Official Name and PositionBeau Higginbotham (VP)
Authorized Official Contact4103683168
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Health Services
1160 Varnum St Ne
St Catherine's Hall, Room 102
Washington
DC 20017-2107

Ph: (202) 854-4069
Providence Health Services
1150 Varnum St Ne
Suite 201
Washington
DC 20017-2104

Ph: (202) 854-7674

NPI Details:

NPI Number1083878730
Provider Enumeration Date07/11/2008
Last Update Date06/07/2017

Medical Identifiers

Medical identifiers for Providence Health Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083878730NPI-NPPES
023435100MedicaidDC
025501700MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner HFD01-0212 (District Of Columbia)Primary

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