1063684330 NPI number — WASHINGTON HOSPITAL CENTER CORP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063684330 NPI number — WASHINGTON HOSPITAL CENTER CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WASHINGTON HOSPITAL CENTER CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063684330
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6525 BELCREST RD.
Provider Second Line Business Mailing Address:
STE 320 WHC-PBS
Provider Business Mailing Address City Name:
HYATTSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20782-2022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-209-5612
Provider Business Mailing Address Fax Number:
301-209-5656

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 HOSPITAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCE FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20678-4017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-855-1012
Provider Business Practice Location Address Fax Number:
301-209-5656
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ORLOWSKI
Authorized Official First Name:
JANIS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
SNR VICE PRES. AND CHIEF MED. OFF.
Authorized Official Telephone Number:
202-877-5284

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  HFD01-0210 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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