PROVIDENCE HOSPITAL (NPI# 1649616384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649616384 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOSPITAL |
| Practice Address |
1150 Varnum St Ne Washington DC 20017-2104 |
| Mailing Address |
1600 S Eads St Apt 731s Arlington VA 22202-2926 |
| Practice Telephone | 2024238976 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | DAPHNE TOLENTINO (ANESTHESIOLOGIST ASSISTAMT) |
| Authorized Official Telephone | 6785955626 |
| Authorized Official Credential | AA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | AA000012 | DC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134584667 | Providence Hospital | Clinic/Center | 3413 Olive Branch Dr, Silver Spring, MD 20904-4973 | 2015-12-29 |
| 1881891372 | Providence Hospital | Chronic Disease Hospital | 16400 N Park Dr Apt 1008, Southfield, MI 48075-4728 | 2007-06-28 |
| 1548486681 | Providence Hospital | General Acute Care Hospital | 10508 Keane Dr, Grass Lake, MI 49240-8803 | 2007-04-17 |
| 1932277050 | Providence Hospital | Rehabilitation Hospital | 6351 Woodside Dr, Theodore, AL 36582-6061 | 2006-11-30 |
| 1861057416 | Providence Hospital | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-05-08 |
| 1861954638 | Providence Hospital | Emergency Medicine | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-04-02 |
| 1710362496 | Providence Hospital | General Acute Care Hospital | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-07-23 |
| 1871922971 | Providence Hospital | Hospitalist | 6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709 | 2013-11-08 |
| 1992133912 | Providence Hospital | Anesthesiology | 6801 Airport Blvd, Anesthesia Dept., Mobile, AL 36608-3709 | 2013-10-30 |
| 1659707149 | Providence Hospital | General Acute Care Hospital | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2013-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HOSPITAL | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| System for Award Management (SAM) Entities | PROVIDENCE HOSPITAL AND MEDICAL CENTERS | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Iowa Business Entities | PROVIDENCE HOSPITALITY PARTNERS LLC | 709 Clarkson St, Denver, CO 80218 |
| Colorado Business Entities | PROVIDENCE HOSPITALITY PARTNERS LLC | 1888 N Sherman St, Suite 610, Denver, CO 80203 |
| New York State Corporations | PROVIDENCE HOSPITALITY PARTNERS LLC | 1888 N Sherman St, Suite 610, Denver, Co 80203 |
| Street Address |
1150 VARNUM ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648657 | Heather J Wayco | Dietitian, Registered | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2005-06-02 |
| 1508406653 | Pamela Fru Tange Oriaifo | Nurse Practitioner | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2020-01-07 |
| 1952946824 | Amarachi Angelina Nnamdi-eze | Physical Therapy Assistant | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-11-14 |
| 1598313595 | Providence Health Services, Inc | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-09-03 |
| 1861057416 | Providence Hospital | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-05-08 |
| 1861954638 | Providence Hospital | Emergency Medicine | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-04-02 |
| 1457837619 | Daniel Fernandez | Internal Medicine | 1150 Varnum St Ne, Washington, DC 20017 | 2018-07-11 |
| 1104311018 | Iman Fatima Musah | Anesthesiologist Assistant | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2018-06-25 |
| 1164923348 | Joy R Hudson | Social Worker | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2018-02-23 |
| 1740795293 | Providence Health Services, Inc | Nurse Anesthetist, Certified Registered | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2017-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407028 | Ngozi Martha Eboh | General Acute Care Hospital | 110 Irving St Nw # 2hicu, Washington, DC 20010-3017 | 2020-08-11 |
| 1245504232 | Howard University Hospital | General Acute Care Hospital | Department of Medicine Howard University, 2041 Georgia Avenue Nw, Washington, DC 20060-0001 | 2012-03-08 |
| 1811282155 | P.o.s.t Rehabilitation Services, LLC | General Acute Care Hospital | 3617 18th St Ne, Washington, DC 20018-2701 | 2011-06-15 |
| 1922390491 | Patients First Community Hospital | General Acute Care Hospital | 911 Patients First Dr, Washington, MO 63090-4703 | 2011-05-03 |
| 1932413408 | Howard University Hospital | General Acute Care Hospital | 3040 Idaho Ave Nw Apt 229, Washington, DC 20016-5405 | 2010-07-27 |
| 1285950261 | Washington Hospital Center | General Acute Care Hospital | 110 Irving St Nw # 2b-4, Washington Hospital Center, Washington, DC 20010-3017 | 2010-04-15 |
| 1356500995 | University of Washington | General Acute Care Hospital | 1107 Ne 45th Street, Suite 440, Washington, WA 98195-4807 | 2008-06-09 |
| 1134387038 | Howard University Hospital | General Acute Care Hospital | 2041 Georgia Ave, Washington, DC 20059-0001 | 2008-05-28 |
| 1821270208 | Department of Veterans Affairs | General Acute Care Hospital | 50 Irving St Nw Rm 4c-105o, Medical Staff Office, Washington, DC 20422-0001 | 2007-11-28 |
| 1215059068 | Va Medical Center | General Acute Care Hospital | 50, Irving Street, Washington, DC 20422 | 2007-04-04 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
Please comment or provide details below to improve the information on PROVIDENCE HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.