Phs Ctr For Geriatric Medicine Dp021, NPI 1538437926
Geriatric Medicine (Internal Medicine) Physician in Washington, DC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538437926
NPI Entity Type Organization
Provider Name Phs Ctr For Geriatric Medicine Dp021
Other Name
Subpart of Organization Providence Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1160 Varnum St Ne, Depaul 021, Washington, DC, US
Provider Mailing Address 1160 Varnum St Ne, St Catherine's Hall, Room 102, Washington, DC, US, 200172107
Is Sole Proprietor? No
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Organization Official

Official Name MR. Charles F Haberkern
Official Position VP
Phone 202-854-4255

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RG0300X

Taxonomy Name Geriatric Medicine (Internal Medicine) Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. HFD01-0212
License State DC
Description An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Other Organization Name

Providence Health Services
Other Name

Business Address

Phs Ctr For Geriatric Medicine Dp021
1160 Varnum St Ne
Depaul 021

Washington, DC, US

Phone: 202-854-7785
Fax: 202-854-7734

Mailing Address

Phs Ctr For Geriatric Medicine Dp021
1160 Varnum St Ne
St Catherine's Hall, Room 102
Washington, DC, US
ZIP 200172107
Phone: 202-854-4069
Fax: 202-854-7825

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282N00000X

Hospitals

General Acute Care Hospital

HFD01-0212 DC No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
029833400 DC MEDICAID 05
09810714 VA MEDICAID 05
005145400 MD MEDICAID 05

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NPI Name Taxonomy Address

1073185567

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