NPIMap

Organization Active NPI

Providence Hospital

Doing business as Providence Hospital Urgent Care Center

  • General Acute Care Hospital
  • Washington, DC
National Provider Identifier
1932190626
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HFD01-0212 Issued in DC
Legal business name
PROVIDENCE HOSPITAL
Doing business as
Providence Hospital Urgent Care Center
Practice address
1150 Varnum St NE
Washington, DC 20017-2104
Phone
(202) 854-7000
Fax
(202) 854-7160
NPI assigned
Nov 2, 2005
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott M Furniss
Title
Sr. VP Finance/Cfo
Phone
(202) 854-7147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
General Acute Care Hospital 282N00000X HFD01-0212 DC Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017-2104

Mailing address

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 854-7000

Other identifiers 3

IdentifierTypeStateIssuer
09810714MedicaidVA
029833400MedicaidDC
005145400MedicaidMD

Other names 1

  • Providence Hospital Urgent Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1811 Wilshire Blvd
Ste 201
Santa Monica, CA 90403
Phone (310) 566-6330

1053 Buchanan St NE
Washington, DC 20017
Phone (202) 854-4889

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1932190626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-7000",
            "fax_number": "202-854-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-7000",
            "fax_number": "202-854-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "FURNISS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP FINANCE/CFO",
        "authorized_official_telephone_number": "202-854-7147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "DC",
            "license": "HFD01-0212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09810714",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029833400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005145400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Hospital Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.