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 Plan acceptance stays unpublished until the practice reports it.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 1669453809 · enumerated 2005-11-06 · record updated 2023-11-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. MITCHELL LOMAX, Vice President/CFO · (667) 234-2926
Other names: PROVIDENCE HOSPITAL
Addresses and phones
- Practice location 1160 VARNUM ST NE, WASHINGTON, DC, 20017-2107 (202) 854-7000 Fax (202) 269-7160 Google Maps Apple Maps OpenStreetMap
- Mailing address 1150 VARNUM ST NE, ADMINISTRATION 4TH FLOOR, WASHINGTON, DC, 20017-2149 (202) 854-4255 Fax (202) 854-7160 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X
- Surgery 208600000X
- Hospitalist 208M00000X
- Psychologist, Health Service 103TH0100X
- Case Management 251B00000X · License HFD01-0212 DC
- Nurse Practitioner 363L00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
WASHINGTON, DC, 200172107
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.