Family Medicine
PROVIDENCE HEALTH SERVICES, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1619245222 · enumerated 2011-12-09 · record updated 2020-02-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. BEAU HIGGINBOTHAM, Vice President/COO · (410) 638-3162
Other names: PROVIDENCE HEALTH SERVICES
Addresses and phones
- Practice location 128 M ST NW, WASHINGTON, DC, 20001-1205 (202) 682-3840 Fax (202) 682-3854 Google Maps Apple Maps OpenStreetMap
- Mailing address 1150 VARNUM ST NE RM 407, WASHINGTON, DC, 20017-2180 (202) 854-4069 Fax (202) 854-7825 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
WASHINGTON, DC, 200011205
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.